MEDICARE: PREFERRED HOMECARE INFUSION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	333600000X	Pharmacy
4	3336C0004X	Compounding Pharmacy
5	3336L0003X	Long Term Care Pharmacy
6	3336M0002X	Mail Order Pharmacy
7	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1528259108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HOMECARE INFUSION, LLC

Provider Business Mailing Address
First Line	:	PO BOX 40700
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85274-0700
Country	:	US
Telephone Number	:	480-446-9010
Fax Number	:	480-446-7695

Provider Business Practice Location Address
First Line	:	1080 N SWAN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711
Country	:	US
Telephone Number	:	520-318-1077
Fax Number	:	520-318-1013

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM KEYS
Credential	:
Telephone Number	:	480-446-9010

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	08/06/2018

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Directions to “PREFERRED HOMECARE INFUSION, LLC ” Practice Location

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