| NPI | 1336476308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNODUM IHEME Owner 937-278-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: 021990900) | |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2024-07-11 |