| NPI | 1215206263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN C SOBLICK Managing Director 800-767-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2012-05-25 |