NPI | 1104712488 |
---|---|
Former Legal Business Name | ADJUSTED CROWNS RX |
Entity Type | Organization |
Authorized Contact | JOSHELYN SALTON Owner 414-375-5905 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2025-06-14 |
Last Update Date | 2025-06-14 |