Organization
QUALITY HOME INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD OHARE (OWNER)
(818) 429-0881
Entity
Organization
Contact information
Practice address
2321 W OLIVE AVE STE D, BURBANK, CA 91506-2603
(818) 848-8112
(818) 848-8142
Mailing address
2321 W OLIVE AVE STE D, BURBANK, CA 91506-2603
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY47245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5617406
OTHER ID NUMBER
—
Enumeration date
06/13/2006
Last updated
02/01/2008
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