| NPI | 1689761462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 20559) |
| Additional Taxonomies | 251E00000X Home Health |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 20559) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 20559) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-08-06 |