| NPI | 1285636704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KUNZWEILER VP 772-398-5870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2025-05-08 |