Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1609729961 |
| LBN Legal business name | FAIRY BUNDLES BAR |
| Authorized official | DEDRA AKINS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/17/2026 |
| Last updated | 02/17/2026 - About 4 months ago |
| Identifiers | n/a |
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