| NPI | 1760715627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAWKI M FAKIH Pharmacist/Owner 3134-435-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |