NPI | 1083385835 |
---|---|
Doing Business As | PINNACLE DERMATOLOGY - BELLE MEADE |
Entity Type | Organization |
Authorized Contact | PAULA KAYE LAPINSKI Owner 815-744-8554 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2021-09-22 |
Last Update Date | 2021-09-24 |