| NPI | 1104806066 |
|---|---|
| Doing Business As | USA DRUG #7637 |
| Entity Type | Organization |
| Authorized Contact | STEPHEN LAFRANCE President 870-850-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2003019223) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MO 2003019223) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-22 |