NPI | 1831127414 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNNE R. LEICHTFUSS Corporate Secretary 760-741-2813 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHY 43316) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA LSC 99045) |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA PHY 43316) | |
333600000X Pharmacy (Licence: CA PHY 43316) | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA LSC 99045) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2020-08-22 |