| NPI | 1952432338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEMON Owner 419-683-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 020787350) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-06-15 |