Provider Demographics
NPI:1932976206
Name:BIG BEND INFUSION LLC
Entity type:Organization
Organization Name:BIG BEND INFUSION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACISTS
Authorized Official - Prefix:
Authorized Official - First Name:MUSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARWISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-588-5588
Mailing Address - Street 1:124 MARRIOTT DR STE 105
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2981
Mailing Address - Country:US
Mailing Address - Phone:850-558-5588
Mailing Address - Fax:850-558-5584
Practice Address - Street 1:124 MARRIOTT DR STE 105
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2981
Practice Address - Country:US
Practice Address - Phone:850-558-5588
Practice Address - Fax:850-558-5584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy