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 |