| NPI | 1962468181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DUCKETT Sr VP/ Clo 901-227-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TN 1855) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2025-12-10 |