| NPI | 1427183136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DIEHL CFO 762-235-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: GA PHRE007186) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE007186) |
| 333600000X Pharmacy (Licence: GA PHRE007186) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2021-11-01 |