| NPI | 1366499881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA LACAVICH President 318-407-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy (Licence: WV n/a) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WV SP0552256) | |
| 333600000X Pharmacy (Licence: WV SP0552256) | |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552256) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WV SP0552256) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: WV SP0552256) | |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2023-03-07 |