| NPI | 1821774910 |
|---|---|
| Other Name | IMPACT INFUSION CARE |
| Entity Type | Organization |
| Authorized Contact | DUSTIN WILLIAM KOENNING Pharmacist In Charge 806-577-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-11-30 |