| 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 |