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Organization

SCOTTSDALE HOME IV AND SPECIALTY IV INVESTMENT, LLC

Active
Other names
Vital Care Infusion Services of Scottsdale
Organization subpart
No

Provider details

NPI number
Authorized official
BEN KRAWETZ (OWNER)
(480) 534-1355
Entity
Organization

Contact information

Practice address
10752 N 89TH PL STE C-126, SCOTTSDALE, AZ 85260-6730
(480) 534-1355
(480) 281-5188
Mailing address
10752 N 89TH PL STE C-126, SCOTTSDALE, AZ 85260-6730
(480) 534-1355
(480) 281-5188

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary
3336S0011X
Specialty Pharmacy

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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