Organization
MOSS HOLLAND ENTERPRISES LLC
Active
Other names
Bristol Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HOLLAND (OWNER)
(803) 447-1959
Entity
Organization
Contact information
Practice address
18377 WESTINGHOUSE RD, ABINGDON, VA 24210-7933
(276) 676-3468
(276) 451-0175
Mailing address
PO BOX 21294, LITTLE ROCK, AR 72221-1294
(803) 447-1959
(276) 676-2095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0201003801
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2105458
PK
—
05
—
30017838810001
—
VA
Enumeration date
10/23/2006
Last updated
03/28/2025
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