| NPI | 1912523564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDJA TEMIM Manager 800-420-6927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |