| NPI | 1801972260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A HINSHAW President 765-529-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60005873A) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 60005873A) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |