| NPI | 1700958196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CONN Vice President 740-456-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMER.22248) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OH HMER.22248) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH HMER.22248) | |
| 333600000X Pharmacy (Licence: OH 02-1054600) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: OH 02-1054600) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-08-17 |