NPI | 1245021682 |
---|---|
Doing Business As | HER CROWN RX |
Entity Type | Organization |
Authorized Contact | ANTONYA BOATMAN Owner 602-791-0397 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-05-15 |