| NPI | 1972505113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI L JAMISON Gove RN Ment Compliance Manager 480-446-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-03-04 |