Whalio Doctors

NPI 1124334982

Security Enterprises 20 US LLC

Organisation Non-Pharmacy Dispensing Site Bowling Green, KY

Practice location

Address
830 Fairview Ave, Bowling Green, KY 42101-4911
Phone
(270) 904-3887
Fax
(270) 904-3887

Authorised official

Name
Hermila Garcia Marrtinez
Title
Owner
Phone
(270) 904-3887

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X

Registry record

NPI
1124334982
Entity type
Organization
NPI issued
30 Aug 2010
Record last updated
30 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.