| NPI | 1477343408 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TINA BENKENDORFER Chief Operating Officer 800-435-3020  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | 
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies | 
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-05-12 | 
| Last Update Date | 2025-07-21 |