| NPI | 1962550608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MOLLICA CEO 972-588-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TX 22975) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: TX 22975) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 22975) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 22975) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-12-06 |