| NPI | 1609974898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA CHRISTINE ROBERTS Spec Pharma Ops Manager 304-529-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 005) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-21 |