| NPI | 1104596857 |
|---|---|
| Doing Business As | TRICHO RX |
| Entity Type | Organization |
| Authorized Contact | DWYKEIA SHANTWANA PARKER Prosthetic Orthotic Provider 501-575-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |