| NPI | 1801899463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W. CREECH, JR. President/ Co Owner 334-875-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 107790) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 107790) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 107790) | |
| 333600000X Pharmacy (Licence: AL 107790) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-05-05 |