Organization
1ST AMERICA INFUSION SERVICES LLC
Active
Other names
Advanced InfusionCare
Organization subpart
No
Provider details
NPI number
Authorized official
JUDERAL HALL (PRESIDENT)
(800) 482-8466
Entity
Organization
Contact information
Practice address
10 WARREN RD STE 220, COCKEYSVILLE, MD 21030-2531
(833) 607-2874
Mailing address
623 HIGHLAND COLONY PKWY STE 100, RIDGELAND, MS 39157-6077
(769) 300-0803
(866) 204-7069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212184101
—
MD
Enumeration date
05/09/2024
Last updated
05/09/2024
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