| NPI | 1629101852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE E REISZ Owner Registered Pharmacist 270-683-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY P00480) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |