Organization
JABEZ HOME INFUSION COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THOMAS COWART RPH (PHARMACY MANAGER/CO-OWNER)
(252) 758-9304
Entity
Organization
Contact information
Practice address
2495 HEMBY LN, SUITE B, GREENVILLE, NC 27834-3733
(252) 758-9304
(252) 758-6904
Mailing address
2495 HEMBY LN, SUITE B, GREENVILLE, NC 27834-3733
(252) 758-9304
(252) 758-6904
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
08132
NC
332B00000X
Durable Medical Equipment & Medical Supplies
08132
NC
3336H0001X
Home Infusion Therapy Pharmacy
Primary
08132
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046JW
BCBS HOME INFUSION#
NC
05
—
0745929
—
NC
05
—
6800458
—
NC
05
—
7703685
—
NC
Enumeration date
04/10/2006
Last updated
01/15/2013
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