P & R Home IV Service INC
Pharmacy, Home Infusion Therapy Pharmacy in Van Wert, OH. Organization (NPI-2).
NPI number1124131925
StatusActive
Last updated in NPPESSep 7, 2017
Details
- NPI
- 1124131925
- Entity type
- Organization (NPI-2)
- Legal business name
- P & R Home IV Service INC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Sep 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | 020434900 | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Other names
- P&R Medical Connection (Doing Business As)
- P&R Home IV Service, INC (Doing Business As)
Practice location
16937 Defiance TrlVan Wert, OH 45891-8619
Phone 419-587-3349 · Fax 419-587-3229
Mailing address
16937 Defiance TrlVan Wert, OH 45891-8619
Phone 419-587-3349 · Fax 419-587-3229
Authorized official
Phillip Farris
Pres
8005877670
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