Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Infusion Therapy |
261QI0500X | |||
Home Infusion Therapy Pharmacy |
3336H0001X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1871391177 |
||||
| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 03/04/2025 | ||||
| Last updated | 03/04/2025 - More than a year ago | ||||
| Identifiers |
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DANNIELLE MAYO
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