Organization
ADVANCED INFUSION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TANZINI RPH (MEMBER)
(208) 376-2246
Entity
Organization
Contact information
Practice address
627 N FIVE MILE RD, BOISE, ID 83713-8025
(208) 376-2246
(208) 376-2249
Mailing address
627 N FIVE MILE RD, BOISE, ID 83713-8025
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
1980LS
ID
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307695
OTHER ID NUMBER
—
Enumeration date
01/30/2006
Last updated
07/19/2007
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