| NPI | 1912148008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GATES Director Of Operations 877-895-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OK 2-5409) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: OK 2-5409) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-05-04 |