| NPI | 1891268017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T PAMPERIN Operating Manager/PIC 256-970-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |