| NPI | 1902451552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS E ULM President 702-577-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-07-14 |