| NPI | 1578544474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W GOLDING Vice President 800-225-5967 |
| Organization Subpart ? | |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: FL PH19725) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2009-09-15 |