| NPI | 1679347561 |
|---|---|
| Doing Business As | MIMC SPECIALTY AND HOME INFUSION PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MARK NIX President/CEO 251-625-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2024-03-18 |