| NPI | 1851529630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE LEE HARASHE Store Director 832-717-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO CPed2682) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2011-01-27 |