| NPI | 1003405580 |
|---|---|
| Doing Business As | DIVERSE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER A WILLS Owner 229-468-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |