| NPI | 1912972613 |
|---|---|
| Doing Business As | AGNESIAN HEALTH SHOPPE |
| Entity Type | Organization |
| Authorized Contact | BONNIE R SCHMITZ CFO 920-926-4480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-06-03 |