| NPI | 1508615048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELDON GAGE CFO 832-828-3660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 251F00000X Home Infusion | |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2025-09-04 |