Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Infusion |
251F00000X | |||
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1821349507 |
||||||||
| LBN Legal business name | AMERIMED, LLC | ||||||||
| Authorized official | JACK HAWKINS - (V.P. FINANCE & CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/21/2012 | ||||||||
| Last updated | 12/06/2022 - About 3 years ago | ||||||||
| Identifiers |
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