| NPI | 1144213406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM DANHAUER Owner 270-684-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P0684) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY P00684) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2024-11-25 |