| NPI | 1497821946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE KNICKERBOCKER CEO 877-855-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25928) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2018-04-30 |