NPI | 1588101984 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
251F00000X Home Infusion | |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2018-08-06 |