| NPI | 1861585002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HOBSON VP 870-867-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AR AR18598) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |