| NPI | 1174674030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOSEA R DAILEY President 251-578-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 102440) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 102440) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |