| NPI | 1902646102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYNN RECINE Director, Rcm 888-822-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |