| NPI | 1922756477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LAWRENCE KATEN CFO 772-631-3140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335G00000X Medical Foods Supplier | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-10-17 |