NPI | 1336684059 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
333600000X Pharmacy | |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2017-01-04 |
Last Update Date | 2018-08-06 |