| NPI | 1285381558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY BUSH Member 423-206-9840 |
| 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 | |
| 333600000X Pharmacy | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |