NPI | 1780187237 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN EUGENE BURR Secretary 712-310-4701 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2018-03-12 |
Last Update Date | 2024-06-20 |