| NPI | 1871751198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R PINKERTON President 479-751-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 121) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR 69) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-06-06 |