Organization
1ST AMERICA INFUSION SERVICES LLC
Active
Other names
Advanced InfusionCare
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CASTELLANOS (CEO)
(601) 988-1700
Entity
Organization
Contact information
Practice address
18451 DALLAS PKWY STE 130, DALLAS, TX 75287-5202
(601) 988-1700
Mailing address
18451 DALLAS PKWY STE 125, DALLAS, TX 75287-5202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
09/27/2018
Last updated
11/02/2021
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