| NPI | 1386535011 |
|---|---|
| Doing Business As | PROMEDICA HOME INFUSION PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | KEVIN SHARP Vice President, Revenue Cycle 567-585-7576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |