Organization
DEEFLAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUAN DINH (PIC)
(928) 299-5070
Entity
Organization
Contact information
Practice address
2580 HIGHWAY 95 STE 106, BULLHEAD CITY, AZ 86442-7324
(928) 299-5070
(928) 299-5071
Mailing address
2580 HIGHWAY 95 STE 106, BULLHEAD CITY, AZ 86442-7324
(928) 299-5070
(928) 299-5071
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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