| NPI | 1437224250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W. DANHAUER President/Owner 270-570-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-01-04 |