| NPI | 1750628178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HANNIE Distributor Principle 225-978-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 332B000000X) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |