| NPI | 1881861383 |
|---|---|
| Doing Business As | ISLAND DRUG INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TILLIS Owner 228-217-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113101) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2024-05-30 |