NPI | 1700074580 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA CISSY MCLEAN CEO 615-320-1011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000001961) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TN 3868) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2007-10-05 |