| NPI | 1598812984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN LEWIS DENMARK Owner 540-931-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE0085835) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-07-10 |