NPI | 1386158418 |
---|---|
Doing Business As | FAIRVIEW HOME INFUSION DULUTH |
Entity Type | Organization |
Authorized Contact | DAVID FASCHING CFO 612-617-3799 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2017-11-28 |
Last Update Date | 2023-11-15 |