NPI | 1255351607 |
---|---|
Entity Type | Organization |
Authorized Contact | MASON J ROMERO President 337-893-6304 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: LA 1415-IR) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 1415-IR) |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 1415-IR) | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 1415-IR) | |
333600000X Pharmacy (Licence: LA 1415-IR) | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 1415-IR) | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: LA 1415-IR) | |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: LA 1415-IR) | |
3336M0002X Pharmacy, Mail Order Pharmacy (Licence: LA 1415-IR) | |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA 1415-IR) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2008-07-08 |