institution
Pediatric Nutrition Provider Of Ar
Parenteral & Enteral Nutrition Supplies (DME) in Benton, Arkansas
NPI 1588873053

Pediatric Nutrition Provider Of Ar is a Parenteral & Enteral Nutrition Supplies (DME) based in Benton, AR and is specialized in Parenteral & Enteral Nutrition. Pediatric Nutrition Provider Of Ar practices in Benton, AR. The NPI Number for Pediatric Nutrition Provider Of Ar is 1588873053 and holds a License No. AR20528 (Arkansas).

The current practice location address for Pediatric Nutrition Provider Of Ar is 920 Edison Ave, Benton, AR and can be reached out via phone at 501-315-7337.

Location: 920 Edison Ave, Benton, AR, 72015-4502
institution
Provider Profile Details
NPI Number
1588873053
Provider Name
Pediatric Nutrition Provider Of Ar
Credential
Provider Entity Type
Organization
Address
920 Edison Ave, Benton, AR, 72015-4502
Phone Number
501-315-7337
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 Edison Ave
City
State
Zip
72015-4502
Phone Number
501-315-7337
Fax Number
person
Provider Business Mailing Address Details
Address
920 Edison Ave
City
State
Zip
72015-4502
Phone Number
501-315-7337
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
AR20528 (Arkansas)
Definition
Definition to come...
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