NPI | 1457334153 |
---|---|
Doing Business As | THREE RIVERS INFUSION AND PHCY SPECIALISTS |
Entity Type | Organization |
Authorized Contact | PHILLIP VON BURG President 740-622-1175 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OH 020517450) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2005-11-28 |
Last Update Date | 2009-11-02 |