| NPI | 1124411343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY GLASCO SALES President 704-561-3329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |