NPI | 1780605741 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN EUGENE BURR Secretary 712-310-4701 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 251F00000X Home Infusion |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2024-02-09 |