| NPI | 1508681065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALAN LARIVIERE Chief Compliance Officer 502-676-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-01-15 |