Organization
INFUSION PRN LLC
Active
Other names
Infusion PRN, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA EISELE (EVP/COO)
(804) 747-8900
Entity
Organization
Contact information
Practice address
4953 COX RD, GLEN ALLEN, VA 23060-6296
(804) 888-8630
(804) 888-8628
Mailing address
4953 COX RD, GLEN ALLEN, VA 23060-6296
(804) 888-8630
(804) 888-8628
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0201004420
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4844076
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/06/2012
Last updated
08/21/2012
About Stedi
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