NPI | 1356321285 |
---|---|
Doing Business As | USA DRUG #7636 |
Entity Type | Organization |
Authorized Contact | STEPHEN LAFRANCE President 870-850-8312 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 2003019222) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MO 2003019222) |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MO 2003019233) | |
333600000X Pharmacy (Licence: MO 2003019222) | |
335E00000X Prosthetic/Orthotic Supplier (Licence: MO 2003019222) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2007-12-04 |