Organization
DME PHARMACY INFUSIONS
Active
Other names
DME PHARMACY INFUSIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MONI SAGOO (DIRECTOR)
(817) 800-3752
Entity
Organization
Contact information
Practice address
4255 BRYANT IRVIN RD, STE 103, FORT WORTH, TX 76109-4233
(817) 569-0015
(817) 370-7475
Mailing address
4255 BRYANT IRVIN RD, STE 103, FORT WORTH, TX 76109-4233
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
18760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4547622
OTHER ID NUMBER
—
Enumeration date
02/26/2008
Last updated
02/26/2008
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