NPI 1124391040

Lady in Pink Mastectomy Boutique

Organisation Prosthetic/Orthotic Supplier Corpus Christi, TX

Practice location

Address: 1241 Nile Drive, Corpus Christi, TX 78412
Phone: (361) 334-3476
Fax: (361) 334-3461

Authorised official

Name: Sharon Kay Magill
Title: Office Manager/Biller
Phone: (361) 334-3476

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1124391040
Entity type: Organization
NPI issued: 23 Feb 2012
Record last updated: 23 Feb 2012

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.