Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1053516997 |
| LBN Legal business name | BREWTON MEDICAL CENTER PHARMACY |
| Authorized official | CHARLES COTTRELL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/20/2007 |
| Last updated | 03/24/2008 - About 18 years ago |
| Identifiers | n/a |
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