| NPI | 1538569744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BROOKS President/Rx Manager 704-487-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 10044) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |