Organization
DIXIE INFUSION PHARMACY 2, LLC
Active
Other names
Dixie Vital Care 2 AIC
Organization subpart
No
Provider details
NPI number
Authorized official
NAVAS YOONUS (OWNER)
(615) 525-3142
Entity
Organization
Contact information
Practice address
124 N MAIN ST STE 101, SMITHS GROVE, KY 42171-8323
(615) 525-3142
Mailing address
124 N MAIN ST STE 101, SMITHS GROVE, KY 42171-8323
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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