| NPI | 1629250402 |
|---|---|
| Doing Business As | HOME IV PLUS |
| Entity Type | Organization |
| Authorized Contact | ROBERT WIERICHS President 262-786-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WI 7089-42) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |