Organization
PATIENT CARE INFUSION LLC
Active
Parent organization
PATIENT CARE INFUSION LLC
Other names
Arizona Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATIENT CARE INFUSION LLC
Authorized official
JASON SMIDT (CIO)
(480) 246-3968
Entity
Organization
Contact information
Practice address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(480) 246-3968
(602) 323-5070
Mailing address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(480) 246-3968
(602) 323-5070
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
Y002667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312512-01
—
AZ
Enumeration date
02/02/2018
Last updated
02/02/2018
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