| NPI | 1992791461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY PINTO General Manager 803-649-1726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: SC 50002992) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-07-21 |