| NPI | 1740491844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN MCLEAN Vice President 251-344-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: AL 102.101) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 443) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-06-03 |