| 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 |