| NPI | 1720301054 |
|---|---|
| Doing Business As | SOUTHERN HEMOPHILIA INFUSION PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN KELLEY President 251-937-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AL 113370) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2011-01-19 |