In the Pink Boutique, Inc.

NPI #1134356835 in Jacksonville Beach, Florida

Provider Information

NPI Number
1134356835
Entity Type
Organization
Organization Name
In the Pink Boutique, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 19, 2009
Last Updated
Mar 31, 2010

Practice Location

Address
522 3RD ST N
State
Florida
ZIP Code
32250-7031
Phone
(904) 372-0029

Authorized Official

Name
MRS. JERI K MILLARD
Title
OWNER/ CEO
Phone
(904) 534-3266

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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