| NPI | 1467691600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH DIXON Director 931-722-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-05-20 |