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Organization

PATIENT CARE INFUSION LLC

Active
Other names
Arizona Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT ALLEN COSTON (A R MANAGER)
(602) 445-1745
Entity
Organization

Contact information

Practice address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(602) 252-5000
(602) 323-5070
Mailing address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(602) 252-5000
(602) 323-5070

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Y002667
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
303
AZ
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
303
AZ
332BX2000X
Oxygen Equipment & Supplies (DME)
C000303
AZ
333600000X
Pharmacy
2667
AZ
3336H0001X
Home Infusion Therapy Pharmacy
Primary
2667
AZ
3336N0007X
Nuclear Pharmacy
7572
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500730
NV
05
31251201
AZ
Enumeration date
02/06/2006
Last updated
04/20/2012
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