NPI | 1538823539 |
---|---|
Doing Business As | PRIME HEALTHCARE HOME INFUSION PHARMACY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 909-235-4307 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2021-10-26 |
Last Update Date | 2025-04-16 |