| NPI | 1285879049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB BETHEL PATTERSON Owner 434-792-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: VA 5734) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2022-10-12 |