| NPI | 1477728491 |
|---|---|
| Doing Business As | MOUNTAIN STATES PHARMACY HOME INFUSION THERAPY |
| Entity Type | Organization |
| Authorized Contact | LISA AUSTIN A VP Reimbursement 423-431-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2017-11-17 |