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Facility Type:

, ,

Phone:

Fax:

Email:

Hours of Operation:
Mon
- CLOSED
Tue
- CLOSED
Wed
- CLOSED
Thu
- CLOSED
Fri
- CLOSED
Sat
- CLOSED
Sun
- CLOSED
Insurance/payers/plans:

Languages Spoken:

Home Infusion org/capable:

Accepts Medicare:

Accepts Medicaid:

Central Ordering:

AIC services:

No. of Chairs:

Coverage:

Multi-State:

Existing Account in Veeva?:

Lundbeck ID:

Amenities:

HQ location:

NPI Number:

HIN Number:

DEA Number:

Sales Account Manager:

Sales Territory Name:

Sales Area Name:

Sales Area Manager:

Account Manager Email:

FRS Territory Name:

FRS Name:

FRS Email:

Created By:

Last Modified:

Approved By:

Flagged For Deletion By: