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BRIOVARX INFUSION SERVICES INC

Suppliers Pharmacy

Provider NPI: 1093228306

Organization Information:
Organization Name:  BRIOVARX INFUSION SERVICES INC
Organization is not Subpart
Authorized Official:  EDWARD  KRAMM  CEO  877-342-9352

Practice Location:
33 N PLAINS INDUSTRIAL RD  WALLINGFORD, CT 06492-5841 US
Tel: 800-842-5720  Fax: 855-247-8420

Business Mailing Address:
15529 COLLEGE BLVD  LENEXA, KS 66219-1351 US
Tel: 877-342-9352  Fax: 877-542-9352

NPI Information:
NPI: 1093228306
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336H0001XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
PK217323501



American Medical Association 2012 taxonomy code information

Code: 3336H0001X

Type:

Classification:



Definition:



MEDICAL JOBS CT - Page 1

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