| NPI | 1255688990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL SABAN President 810-768-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: NY 031803) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2018-07-19 |