NPI | 1245331479 |
---|---|
Doing Business As | ONE SOURCE HOMECARE PHARMACY |
Entity Type | Organization |
Authorized Contact | JAYANT K THAKER President 914-287-2410 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2021-05-31 |