| NPI | 1649884420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CAMPBELL Chief Operating Officer 443-641-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-10-27 |