| NPI | 1255324380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LOWRY VP 704-873-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 07292) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 07292) |
| 333600000X Pharmacy (Licence: NC 07292) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 07292) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 07292) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2014-10-24 |