| NPI | 1578833885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SHARPE Owner/Vice President 229-435-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113843) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 113843) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 113843) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 113843) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2024-03-27 |