| NPI | 1790782274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH BERNABEI Owner 304-723-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV SP0551249) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV SP0551249) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WV SP0551249) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2025-01-16 |