| NPI | 1255637278 |
|---|---|
| Doing Business As | WINSLETTE PHARMACY VITAL CARE |
| Entity Type | Organization |
| Authorized Contact | WOOTSON KEITH WINSLETTE Pharmacist Owner 706-290-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA PHRE008006) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: GA PHRE008006) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |