| NPI | 1174594220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL COLLINGS Pres 270-932-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY p00382) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY p00382) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-09-11 |