NPI | 1538215744 |
---|---|
Entity Type | Organization |
Authorized Contact | TRICIA M LACAVICH President 143-063-2553 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
Additional Taxonomies | 251E00000X Home Health |
251F00000X Home Infusion | |
261QI0500X Clinic/Center Infusion Therapy | |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
333600000X Pharmacy | |
3336C0004X Pharmacy Compounding Pharmacy | |
3336M0002X Pharmacy Mail Order Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2007-01-28 |
Last Update Date | 2022-08-27 |