| NPI | 1992585285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN GROSSMAN Administrative 941-840-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |