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 |