| NPI | 1447452834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN C MCCONAGHY Pharmacist 251-621-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 112808) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |