| 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 |