| NPI | 1841665973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW C WALK CEO 833-765-3648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CA PHY50168) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2023-03-01 |