Organization
HOME IV CARE AND NUTRITIONAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY S MORSE (VICE PRESIDENT REIMBURSEMENT)
(301) 353-0300
Entity
Organization
Contact information
Practice address
340 HILL CARTER PKWY, ASHLAND, VA 23005-2324
(804) 752-3415
(804) 752-3418
Mailing address
340 HILL CARTER PKWY, ASHLAND, VA 23005-2324
(804) 752-3415
(804) 752-3418
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0201003066
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201003066
BOARD OF PHARMACY
VA
Enumeration date
11/01/2005
Last updated
08/22/2020
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