Organization
HOME RX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G KINGSTON P.D. (VICE PRESIDENT)
(337) 234-1292
Entity
Organization
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY, BUILDING A, SUITE1, LAFAYETTE, LA 70508-6962
(337) 234-1292
(337) 235-4555
Mailing address
4906 AMBASSADOR CAFFERY PKWY, BUILDING A, SUITE1, LAFAYETTE, LA 70508-6962
(337) 234-1292
(337) 235-4555
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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