Organization · NPI-2

1st America Infusion Services LLC

Pharmacy, Home Infusion Therapy Pharmacy · Dallas, TX

NPI number1013492735

StatusActive

Last updated in NPPESNov 2, 2021

Details

NPI: 1013492735
Entity type: Organization (NPI-2)
Legal business name: 1st America Infusion Services LLC
Organization subpart: No
Enumeration date: Sep 27, 2018
Certification date: Nov 2, 2021
Last updated: Nov 2, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336H0001X	Pharmacy, Home Infusion Therapy Pharmacy	–	–	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–
3336C0004X	Pharmacy, Compounding Pharmacy	–	–
3336S0011X	Pharmacy, Specialty Pharmacy	–	–

Other names

Advanced Infusioncare (Doing Business As)

Practice location

18451 Dallas Pkwy Ste 130
Dallas, TX 75287-5202

Phone 601-988-1700

Mailing address

18451 Dallas Pkwy Ste 125
Dallas, TX 75287-5202

Authorized official

Simon Castellanos
Ceo
6019881700

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