| NPI | 1689732034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN JACOBS President 866-415-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ME PH50000057) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-11-11 |