Organization
DELTA MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L MUSGRAVES (OWNER)
(870) 824-6098
Entity
Organization
Contact information
Practice address
3404 PHILCO, BLYTHEVILLE, AR 72315-5176
(870) 284-6098
Mailing address
3404 PHILCO, BLYTHEVILLE, AR 72315-5176
(870) 284-6098
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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