| NPI | 1699396655 |
|---|---|
| Doing Business As | PROVIDENCE HOME INFUSION ORANGE COUNTY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2022-09-22 |