| NPI | 1548376866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ROSE Chief Compliance Officer 916-475-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY42047) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-09-14 |