A WIG BOUTIQUE ETC. NPI 1013248806

NPI Information

A WIG BOUTIQUE ETC. is a durable medical equipment medical supplies in Pensacola, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. A WIG BOUTIQUE ETC. NPI is 1013248806. The provider is registered as an organization entity type.

The provider's business location address is:

6707 PLANTATION RD
SUITE C3
PENSACOLA, FL
ZIP 32504-214
Phone: (850) 476-1916
Fax: (850) 476-1916

The provider's authorized official is Michelle Blakeney .
The authorized official title is Owner/operator and has the following contact phone number (850) 476-1916.

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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