NPI | 1669602165 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN EUGENE BURR Secretary 712-310-4701 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-07-17 |
Last Update Date | 2024-02-13 |