| NPI | 1093891442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A HINSHAW President 765-529-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IN 60003608A) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60003608A) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |