Organization
YUMA INFUSION THERAPY, LLC
Active
Parent organization
PRESCOTT IV CARE, INC.
Other names
Altius Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESCOTT IV CARE, INC.
Authorized official
MR. PERLEY KEVIN NESTRICK RPH (OWNER/CEO)
(928) 708-0025
Entity
Organization
Contact information
Practice address
2170 1/2 W 24TH ST, YUMA, AZ 85364
(928) 373-0101
Mailing address
1151 W IRON SPRINGS RD, STE G, PRESCOTT, AZ 86305-1614
(928) 708-0025
(928) 708-0288
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
Y004865
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320658
—
AZ
Enumeration date
02/28/2008
Last updated
09/25/2009
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