Organization Name: | MT. PLEASANT PHARMACY, INC. |
NPI Number: | 1831294214 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES WILSON (PRESIDENT) |
Mailing Address: | 609 N Jefferson Ave Mt Pleasant |
State: | TX US |
Postal Code: | 754553646 |
Phone Number: | 9035724397 |
Fax Number: | 9035725912 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 18708 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
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 |