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