| NPI | 1083084768 |
|---|---|
| Doing Business As | BOOMER SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | KYLE SIMMONS Co President 877-774-3706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 487429) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2025-09-19 |