| NPI | 1679250443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN STARR COO 844-650-5802 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 251E00000X Home Health | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-06 |