| NPI | 1518926955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALTON WILLINGHAM CEO Owner 405-235-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| 333600000X Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: OK 1-4589) | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: OK 1-4589) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |