| NPI | 1891731352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH TROWBRIDGE President/Board Chair 1866-901-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-11-17 |