Organization
PINK RIBBON BOUTIQUE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WHEELER (PRESIDENT)
(270) 842-7465
Entity
Organization
Contact information
Practice address
169 PEACHTREE LN, BOWLING GREEN, KY 42103-7007
(270) 842-7465
(270) 842-3836
Mailing address
PO BOX 50336, BOWLING GREEN, KY 42102-2936
(270) 842-7465
(270) 842-3836
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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