| NPI | 1215005996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN D. ALLEN Director 419-252-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: MI 5301007711) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-03-30 |