NPI | 1598040560 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANDLER MARSHALL CONNER CEO/PIC 706-521-0272 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: GA PHRE009782) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE009782) |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: GA PHRE009782) | |
Enumeration Date | 2011-10-20 |
Last Update Date | 2015-08-10 |