NPI | 1821346651 |
---|---|
Doing Business As | DIPRETA DERMATOLOGY DISPENSARY |
Entity Type | Organization |
Authorized Contact | EDWARD ANTHONY DIPRETA President 912-265-2142 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: GA 052707) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2012-08-28 |