NPI | 1902990633 |
---|---|
Doing Business As | QUALITY I.V. CARE |
Entity Type | Organization |
Authorized Contact | WALDO R ROTH President Pharmacist In Charge 307-742-5048 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2366) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY 52-02394) |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: WY 52-02394) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-04-22 |