Organization Name: | EULONIA PHARMACY, INC. |
NPI Number: | 1568473395 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LANA C CARTER (OWNER) |
Mailing Address: | 15268 Us Highway 17 Townsend |
State: | GA US |
Postal Code: | 313313854 |
Phone Number: | 9128326009 |
Fax Number: | 9128326677 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PHRE009069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |