| NPI | 1851631980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JENSEN President 800-511-5144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26727) |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL PH26727) | |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-05-24 |