| NPI | 1407121957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MCNEW-NGUYEN Director, Corporate Administration 855-497-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-02-28 |