Organization
NUTRISHARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN PULSIPHER (CFO / TREASURER)
(916) 478-7811
Entity
Organization
Contact information
Practice address
4310 E COTTON CENTER BLVD STE 110, PHOENIX, AZ 85040-8857
(866) 955-5807
(888) 626-3344
Mailing address
4310 E COTTON CENTER BLVD STE 110, PHOENIX, AZ 85040-8857
(866) 955-5807
(888) 626-3344
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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