| NPI | 1932272523 |
|---|---|
| Doing Business As | MIIVRX |
| Entity Type | Organization |
| Authorized Contact | KEVIN ROEDER CEO 989-631-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MI 5301010544) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-07-19 |