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Organization

PALMETTO HOME INFUSION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE ANDERSON (DIRECTOR)
(800) 809-1265
Entity
Organization

Contact information

Practice address
142 SHERLOCK DR, STATESVILLE, NC 28625-1916
(800) 809-1265
(866) 872-8920
Mailing address
142 SHERLOCK DR, STATESVILLE, NC 28625-1916
(800) 809-1265
(866) 872-8920

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary

Other

Enumeration date
05/13/2024
Last updated
06/16/2026
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