| NPI | 1023427705 |
|---|---|
| Other Name | FUNCTIONAL FORMULARIES |
| Entity Type | Organization |
| Authorized Contact | ROBIN GENTRY MCGEE Owner 937-271-0381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |