Nutrishare, LLC
Pharmacy, Home Infusion Therapy Pharmacy in Elk Grove, CA. Organization (NPI-2).
NPI number1619084829
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1619084829
- Entity type
- Organization (NPI-2)
- Legal business name
- Nutrishare, LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2006
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | PHA442630 | CA | Yes |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – |
Practice location
9850 Kent StElk Grove, CA 95624-9483
Phone 916-685-5034
Mailing address
9850 Kent StElk Grove, CA 95624-9483
Phone 916-685-5034
Authorized official
Austin Pulsipher
President
9164787811
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