| NPI | 1538204375 |
|---|---|
| Other Name | ADMIRAL BEVERAGE CORPORATION |
| Other Name | ADMIRAL BEVERAGE CORPORATION D/B/A ABC MEDCARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD CALLAN Vice President General Counsel & Se 307-278-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY 52-02902) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-11-17 |