| NPI | 1740570936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE B BARROW CEO 954-642-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-09 |
| Last Update Date | 2011-04-09 |