Organization
PATIENT CARE INFUSION LLC
Active
Other names
Arizona Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SMIDT (CIO)
(480) 246-3968
Entity
Organization
Contact information
Practice address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(480) 246-3968
(602) 323-5070
Mailing address
1626 S EDWARD DR, TEMPE, AZ 85281-6200
(480) 246-3968
(602) 323-5070
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
Y002667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312512-01
—
AZ
Enumeration date
02/05/2018
Last updated
02/05/2018
Update your record
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