Organization
AT HOME SOLUTIONS, INC.
Active
Other names
Walgreens-OptionCare
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ZSITEK (VICE PRESIDENT & ASSISTANT SECRETAR)
(800) 879-6137
Entity
Organization
Contact information
Practice address
682 S FERGUSON AVE, SUITE 1, BOZEMAN, MT 59718-6490
(406) 587-1050
(406) 587-1435
Mailing address
3626 PAYSPHERE CIR, CHICAGO, IL 60674-0036
(800) 879-6137
(847) 913-9024
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
1139
MT
332B00000X
Durable Medical Equipment & Medical Supplies
1139
MT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1139
MT
332BX2000X
Oxygen Equipment & Supplies (DME)
1139
MT
3336H0001X
Home Infusion Therapy Pharmacy
Primary
1139
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000380205
—
MT
05
—
1132121 01
—
WY
05
—
220558
—
MT
05
—
5603520
—
MT
05
—
5606668
—
MT
Enumeration date
07/13/2006
Last updated
05/20/2009
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