| NPI | 1407814064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALLEN SMIDT COO 602-252-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NV MP00196) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NV PH02658) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NV PH02658) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-12-01 |