| NPI | 1811912249 |
|---|---|
| Doing Business As | THE COMPANY STORE |
| Entity Type | Organization |
| Authorized Contact | RHONDA S PERRY EVP CFO 478-633-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 20012623968) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: GA PHRE 008012) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: GA PHRE 008012) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-05-14 |