Organization
TWELFTH ONE, LLC
Active
Other names
Aspen Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS K MAIEFSKI PHARMD (PRESIDENT)
(480) 739-6040
Entity
Organization
Contact information
Practice address
2095 S COOPER RD, CHANDLER, AZ 85286-7155
(480) 739-6040
(480) 739-6072
Mailing address
PO BOX 248819, OKLAHOMA CITY, OK 73124-8819
(480) 739-6040
(480) 739-6072
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/01/2023
Last updated
01/18/2024
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