| NPI | 1568465938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RUSSALESI Chief Compliance Officer 484-246-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2025-04-11 |