| NPI | 1578630190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE C DANIEL President 229-382-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 324181) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312767) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 1312767) | |
| 333600000X Pharmacy (Licence: FL PH24359) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH24359) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: FL PH24359) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH24359) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-09-10 |