Organization · NPI-2

1st America Infusion Services LLC

Pharmacy, Home Infusion Therapy Pharmacy · Valdosta, GA

NPI number1093444911

StatusActive

Last updated in NPPESJun 7, 2022

Details

NPI: 1093444911
Entity type: Organization (NPI-2)
Legal business name: 1st America Infusion Services LLC
Organization subpart: No
Enumeration date: Jun 7, 2022
Certification date: May 31, 2022
Last updated: Jun 7, 2022

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

212 Northside Dr
Valdosta, GA 31602-1858

Phone 229-242-3060 · Fax 229-242-9914

Mailing address

623 Highland Colony Pkwy Ste 100
Ridgeland, MS 39157-6077

Phone 601-988-1700 · Fax 866-204-7069

Authorized official

Juderal Hall
President
8004828466

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