| NPI | 1942266499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E KLEINKLAUS Pharmacist 256-442-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: AL 19985) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-11-19 |