| NPI | 1639884034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNEE PEREZ VP, Compliance 877-828-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |