| NPI | 1932220654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL W. DREW Pharmacist 919-735-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 03033) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 03033) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 7795203) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-11-22 |