| NPI | 1477210110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OSBORNE Managing Member 615-562-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |