| Organization Name: | EPPY'S IV, INC |
| NPI Number: | 1053315788 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY E BACHO (PART OWNER, IV MANAGER, PHARMACIST) |
| Mailing Address: | 2987 A Robert C. Byrd Drive Beckley |
| State: | WV US |
| Postal Code: | 25801 |
| Phone Number: | 3042526332 |
| Fax Number: | 3042520145 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 12/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |