| NPI | 1285631614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE OAKLEY Store Manager 800-748-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MS 03810/11.1) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |