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 | 3336M0002X Pharmacy, Mail Order Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2024-01-03 |
Last Update Date | 2024-08-20 |