| NPI | 1972717577 |
|---|---|
| Doing Business As | DAVE'S HOME OXYGEN |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BURKE Partner Pharmacist In Charge 307-322-3425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WY R10004) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WY r10004) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2012-01-24 |