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Organization

DIXIE INFUSION PHARMACY 2, LLC

Active
Other names
Dixie Vital Care 2
Organization subpart
No

Provider details

NPI number
Authorized official
NAVAS YOONUS (CEO)
(615) 525-3142
Entity
Organization

Contact information

Practice address
124 N MAIN ST STE 100, SMITHS GROVE, KY 42171-8323
(270) 451-5320
Mailing address
124 N MAIN ST STE 100, SMITHS GROVE, KY 42171-8323

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336H0001X
Home Infusion Therapy Pharmacy
Primary

Other

Enumeration date
05/08/2020
Last updated
05/08/2020
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