| NPI | 1518948884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY RIDDER President 317-585-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: IN 60005552A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2020-08-22 |