Organization
WINSLETTE PHARMACY INC
Active
Other names
Winslette Pharmacy Vital Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOOTSON KEITH WINSLETTE R.PH. (PHARMACIST OWNER)
(706) 290-0300
Entity
Organization
Contact information
Practice address
2444 SHORTER AVE NW, ROME, GA 30165-1959
(706) 290-0300
(706) 290-0370
Mailing address
2444 SHORTER AVE NW, ROME, GA 30165-1959
(706) 290-0300
(706) 290-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE008006
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHRE008006
GA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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