Dkl31092 INC
NPI #1104881556 in Montezuma, Georgia
Provider Information
- NPI Number
- 1104881556
- Entity Type
- Organization
- Organization Name
- Dkl31092 INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 19, 2006
- Last Updated
- Apr 21, 2010
Practice Location
Authorized Official
- Name
- DONALD LANE, RPH
- Title
- OWNER
- Phone
- (478) 472-7561
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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