| NPI | 1649687062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JENSEN President 800-511-5144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KS 2-13043) |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2021-05-24 |