| NPI | 1861483687 |
|---|---|
| Doing Business As | HOME IV CARE AND NUTRITIONAL SERVICE |
| Entity Type | Organization |
| Authorized Contact | LYNN HALE BRYSON Div President 301-353-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 0201002399) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2015-04-22 |