NPI 1053382770 · live from the CMS NPI Registry
Advanced Infusion Medicine LLC
Pharmacy, Home Infusion Therapy Pharmacy in Boise, ID. National Provider Identifier 1053382770, active.
NPI record
| NPI | 1053382770 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Home Infusion Therapy Pharmacy 3336H0001X |
| Practice location | 627 N Five Mile Rd, Boise, ID 83713 |
| Practice phone | 208-376-2246 |
| Enumerated | January 30, 2006 |
| Last updated | July 19, 2007 |
| Authorized official | James Tanzini, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy, Home Infusion Therapy Pharmacy primary | 3336H0001X | 1980LS (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.