Organization
ABSOLUTE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY AMYX MITCHELL (OWNER)
(870) 424-6637
Entity
Organization
Contact information
Practice address
1209 COMMERCE DR STE 101, MOUNTAIN HOME, AR 72653-2601
(870) 424-6637
Mailing address
1209 COMMERCE DR STE 101, MOUNTAIN HOME, AR 72653-2601
(870) 424-6637
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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