Organization
WINSLETTE PHARMACY INC
Active
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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