| NPI | 1760627319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY JAMES HENDLEY Adminstrator 843-413-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332100000X Department of Veterans Affairs (VA) Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |