| NPI | 1770687782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAY President 618-398-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IL 054009963) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054009963) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2025-10-13 |