| NPI | 1659502755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GILCHRIST COO 601-482-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MS 08206/01.1) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MS 0820611) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2023-05-17 |