| NPI | 1477599736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D WILSON President 304-529-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |