| NPI | 1659379972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE MCCULLOUGH Reimbursement Manager 919-465-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: NC HC1801) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 07363) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC HC1801) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC HC1801) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 07363) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |