| NPI | 1083107205 |
|---|---|
| Doing Business As | NEWBERN DRUG HEALTHMART |
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY DAVIS Owner 731-589-0206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |