Organization · NPI-2

1st America Infusion Services LLC

Pharmacy, Home Infusion Therapy Pharmacy · Valdosta, GA

NPI number1851309595
StatusActive
Last updated in NPPESNov 4, 2022

Details

NPI
1851309595
Entity type
Organization (NPI-2)
Legal business name
1st America Infusion Services LLC
Organization subpart
No
Enumeration date
Aug 4, 2006
Certification date
Nov 4, 2022
Last updated
Nov 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X PharmacyPHRE008040GA
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 292-242-9914

Mailing address

212 Northside Dr
Valdosta, GA 31602-1858

Phone 229-242-3040

Authorized official

Simon Castellanos
Ceo
6019881700

Is something wrong?

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