NPI | 1992851174 |
---|---|
Entity Type | Organization |
Authorized Contact | TRICIA LACAVICH President 314-306-3255 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 251E00000X Home Health |
251F00000X Home Infusion | |
261QI0500X Clinic/Center Infusion Therapy | |
332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
3336C0004X Pharmacy Compounding Pharmacy | |
3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
3336M0002X Pharmacy Mail Order Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2007-01-28 |
Last Update Date | 2022-08-25 |