| NPI | 1548041668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA SCOZZAFAVA President 307-742-5048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |