| NPI | 1851925986 |
|---|---|
| Doing Business As | BARDWELL PHARMACY DME |
| Entity Type | Organization |
| Authorized Contact | CHRIS AUGUSTUS Owner/Pharmacist 270-628-5445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |