| NPI | 1912448945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALMAGE WHITEHEAD CFO 870-347-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2023-09-22 |