| NPI | 1679386437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Managing Associate General Counsel 310-259-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |