| NPI | 1477734507 |
|---|---|
| Other Name | SPECIALTY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | DOUG D SULLIVAN Owner 626-688-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 25251) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA phy42098) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2015-11-25 |