NPI | 1538469267 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT A COSTON Manager 480-246-3950 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NV 2000035-424) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
333600000X Pharmacy (Licence: NV 200035-424) | |
Enumeration Date | 2010-10-28 |
Last Update Date | 2010-10-28 |