| NPI | 1699324681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC KASSMAN Vice President 917-531-6492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |