| NPI | 1659456119 |
|---|---|
| Doing Business As | MEDICAL PARK HOME INFUSION |
| Entity Type | Organization |
| Authorized Contact | JAMES M MURDY Chief Financial Officer 304-243-3681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: WV SP0551188) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: WV SP0551188) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-04-02 |