Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1164403903 |
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| LBN Legal business name | PK INDUSTRIES CORP | ||||
| Authorized official | JAIME INFANZON - (MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/09/2005 | ||||
| Last updated | 11/21/2023 - About 3 years ago | ||||
| Identifiers |
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