| 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 | 3336S0011X Pharmacy, Specialty Pharmacy |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-07-14 |