Suppliers (1108)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Suppliers
CLASSIFICATION Pharmacy
DEFINITION
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics 
and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy 
and compliance.
AREA OF SPECIALIZATION Home Infusion Therapy Pharmacy
STATUS Active
X12 CODE 3336H0001X
SPECIALTY CODE A5
INDIVIDUAL/NON NON-INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5255522
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:31
    STATUS:   INACTIVE
  • 2018-04-02 15:36:12
    STATUS:   ACTIVE