NPI | 1548337025 |
---|---|
Doing Business As | COLDWATER PHARMACY |
Entity Type | Organization |
Authorized Contact | STEVEN PERKINS Owner, PIC 662-622-7441 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00625/01.1) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2015-01-27 |