| NPI | 1972541449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BONACCORSI Sr VP, Secretary & General Counsel 847-229-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: VA 0201003388) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: VA 0201003388) |
| 261QI0500X Clinic/Center Infusion Therapy (Licence: VA 0201003388) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: VA 0201003388) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-01-19 |