| NPI | 1992908743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LAWRENCE KATEN CFO 772-631-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CO 689) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO PDO-689) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CO PDO-689) | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-01-13 |