Irwin Pharmacy Services, LLC
Home Infusion in Las Cruces, NM. Organization (NPI-2).
NPI number1003473802
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1003473802
- Entity type
- Organization (NPI-2)
- Legal business name
- Irwin Pharmacy Services, LLC
- Organization subpart
- No
- Enumeration date
- May 28, 2019
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251F00000X | Home Infusion | – | – | Yes |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Vital Care Of Las Cruces (Doing Business As)
Practice location
1680 Hickory Loop Ste ALas Cruces, NM 88005-6598
Phone 575-636-1570 · Fax 877-636-1570
Mailing address
1680 Hickory Loop Ste ALas Cruces, NM 88005-6598
Phone 575-636-1570 · Fax 877-636-1570
Authorized official
Daniel James Irwin
Owner
5156361570
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