| NPI | 1356915318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MEIER Manager 405-762-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |