Organization Name: | BARNES DRUG STORES OF VALDOSTA INC |
NPI Number: | 1003040205 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES W BARNES (CEO/OWNER) |
Mailing Address: | 3236 W Main St Dothan |
State: | AL US |
Postal Code: | 363051015 |
Phone Number: | 2292456039 |
Fax Number: | 8882767881 |
NPI Enumeration Date: | 05/04/2009 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |