NPI | 1093976094 |
---|---|
Doing Business As | VILLAGE HEALTHMART |
Entity Type | Organization |
Authorized Contact | MICHAEL D BUTLER Owner 501-922-0777 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
Enumeration Date | 2008-06-23 |
Last Update Date | 2016-10-26 |