| NPI | 1801060173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHARD GRAVES President 317-296-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2022-07-21 |