| NPI | 1255977476 |
|---|---|
| Doing Business As | IBO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JERMAIN WIGGINS Manager 346-570-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |