| NPI | 1083682363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAIN FOOTE Managing Partner 501-907-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AR OS02062) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 3820) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |