Pediatric Home Care, Inc.
Home Infusion Therapy Pharmacy in Spokane Valley, Washington
NPI 1134178098
Pediatric Home Care, Inc. is a Home Infusion Therapy Pharmacy based in Atlanta, WA and is specialized in Home Infusion Therapy Pharmacy. Pediatric Home Care, Inc. practices in Spokane Valley, WA. The NPI Number for Pediatric Home Care, Inc. is 1134178098 and holds a License No. PF00057031 (Washington).
The current practice location address for Pediatric Home Care, Inc. is 1120 North Mullan Road, Spokane Valley, WA and can be reached out via phone at 509-368-9252 and via fax at 509-368-9594.
Location: 1120 North Mullan Road, Spokane Valley, WA, 30339-5047
Provider Profile Details
NPI Number
1134178098
Provider Name
Pediatric Home Care, Inc.
Credential
Provider Entity Type
Organization
Address
1120 North Mullan Road, Spokane Valley, WA, 30339-5047
Phone Number
509-368-9252
Fax Number
509-368-9594
Provider Enumeration Date
05/09/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806198700 | 05 | ID | |
| 0213350 | 05 | MT | |
| 6025159 | 05 | WA | |
| 7331622 | 05 | WA | |
| 806189200 | 05 | ID | |
| 9051780 | 05 | WA | |
| 0561646 | 05 | MT |
Provider Business Practice Location Address Details
Address
1120 North Mullan Road
City
State
Zip
99206-4074
Phone Number
509-368-9252
Fax Number
509-368-9594
Provider Business Mailing Address Details
Address
1120 North Mullan Road
City
State
Zip
99206-4074
Phone Number
509-368-9252
Fax Number
509-368-9594
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
PF00057031 (Washington)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
PF00057031 (Washington)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
00000344 (Washington)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
PF00057031 (Washington)
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.
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