Organization Name: | JO NELL WILKINSON & WILLIAM JACK WILKINSON |
NPI Number: | 1275540304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JO NELL WILKINSON (OWNER/PHARMACIST) |
Mailing Address: | 810 Myer Ln Kermit |
State: | TX US |
Postal Code: | 797454634 |
Phone Number: | 4325862556 |
Fax Number: | 4325865934 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 09/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 15496 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |