| NPI | 1215264940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B YOUNAN President 800-399-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 004002512) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2011-05-09 |