| NPI | 1013965953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CARL CEO/Presdent 251-633-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-08-02 |