NPI | 1922756477 |
---|---|
Doing Business As | IVY SPECIALTY INFUSION |
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 | 332B00000X Durable Medical Equipment & Medical Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
3336S0011X Pharmacy, Specialty Pharmacy | |
335G00000X Medical Foods Supplier | |
Enumeration Date | 2022-03-14 |
Last Update Date | 2025-01-13 |