OrganizationActive
Professional Home IV Inc
NPI 1053341966 · Home Infusion Therapy Pharmacy · Soldotna, AK
Provider details
- NPI number
- 1053341966
- Entity type
- Organization
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Organization subpart
- No
- Authorized official
- James Henderson, Owner(907) 262-8737
- License
- PHAR490 (AK)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
182 S Birch St
Soldotna, AK 99669-8020
Phone: (907) 262-8737
Fax: (907) 260-7405
Approximate (ZIP-level) locationGet directions
Mailing address
182 S Birch St
Soldotna, AK 99669-8020
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.