| NPI | 1285687749 |
|---|---|
| Doing Business As | PROVIDENCE INFUSION AND PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WA PHAR.CF.60389608) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-03-19 |