Organization
WIREGRASS DRUGS INC
Active
Other names
center drugs
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SHARPE (OWNER)
(229) 435-4571
Entity
Organization
Contact information
Practice address
702 W MAPLE AVE, GENEVA, AL 36340-1632
(334) 684-0453
(334) 684-3404
Mailing address
PO BOX 72188, ALBANY, GA 31708-2188
(229) 435-4571
(229) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432801
—
FL
Enumeration date
01/12/2022
Last updated
01/12/2022
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