NPI 1720072812

Professional Home Care Dearborn Oxygen Therapy Co

Organisation Department of Veterans Affairs (VA) Pharmacy Dearborn, MI

Practice location

Address: 24706 Michigan Ave, Dearborn, MI 48124-1750
Phone: (313) 277-2160
Fax: (313) 277-3079

Authorised official

Name: Brian G Kolfage
Title: President
Phone: (313) 277-2160

Registered specialties (2)

Department of Veterans Affairs (VA) Pharmacy Primary

Suppliers Taxonomy 332100000X Licence 5306000370 (MI)

Other Department of Veterans Affairs (VA) Pharmacy providers in Michigan →

Oxygen Equipment & Supplies (DME)

Suppliers Taxonomy 332BX2000X

Other Durable Medical Equipment & Medical Supplies providers in Michigan →

Registry record

NPI: 1720072812
Entity type: Organization
NPI issued: 6 Sep 2005
Record last updated: 12 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.