| NPI | 1235121187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY M SHUMAN Owner/CEO 912-285-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-09-02 |