Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Infusion Therapy |
261QI0500X | |||
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1518028604 |
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| LBN Legal business name | INTRAVENE, LLC | ||||||||||||
| Authorized official | NANCY MOORE - (PHARMACIST) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 12/12/2006 | ||||||||||||
| Last updated | 10/14/2013 - About 13 years ago | ||||||||||||
| Identifiers |
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