| NPI | 1265477764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NORMAN SWEENEY Cep 843-347-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 6507663) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: SC 65007663) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: SC 65007663) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: SC 65007663) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 50004894) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |