| NPI | 1982835856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DANCER President 401-722-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-09-09 |