Organization
JABEZ HOME INFUSION COMPANY, INC
Active
Other names
Jabez Home Infusion Company, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COWART (CEO)
(252) 758-9304
Entity
Organization
Contact information
Practice address
130 N FRONT ST STE 300, WILMINGTON, NC 28401-3972
(910) 343-1013
(910) 343-1015
Mailing address
130 N FRONT ST STE 300, WILMINGTON, NC 28401-3972
(910) 343-1013
(910) 343-1015
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
09941
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3460831
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/28/2012
Last updated
12/28/2012
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