| NPI | 1922100312 |
|---|---|
| Doing Business As | DBA PHARMAX MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | DAVID B HOLMAN President 573-756-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 602403909) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 622403905) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-08-04 |