NPI | 1225158777 |
---|---|
Doing Business As | SOO'S DRUG |
Entity Type | Organization |
Authorized Contact | KRYSTAL SOO Owner 870-932-6930 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR AR20121) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |