| NPI | 1427516608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT DEANS Secretary & Treasurer 800-879-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-20 |