| NPI | 1700539269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIEL CHICHEPORTICHE Program Sponsor 410-484-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |