| NPI | 1356366231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ZSITEK Vice President & Assistant Secretar 800-879-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MT 1139) |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy (Licence: MT 1139) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT 1139) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MT 1139) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MT 1139) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-05-20 |