| NPI | 1205606175 |
|---|---|
| Doing Business As | ADW DIABETES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT M. MCMAHON Pharmacy Manager 877-241-9002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |