| NPI | 1801979935 |
|---|---|
| Doing Business As | BRISTOL HOME INFUSION |
| Entity Type | Organization |
| Authorized Contact | NELSON TIDWELL Owner 276-676-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: VA 0201003801) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-04-06 |