NPI | 1861403727 |
---|---|
Doing Business As | THE MEDICINE CABINET OF OCILLA |
Entity Type | Organization |
Authorized Contact | ALEXANDER ASHLEY WILLS Owner 912-381-5712 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-05-10 |