| NPI | 1518569219 |
|---|---|
| Doing Business As | PROVIDENCE HOME INFUSION LA COUNTY |
| Doing Business As | PROVIDENCE INFUSION AND PHARMACY SERVICES-BURBANK |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2022-09-13 |