NPI | 1003234758 |
---|---|
Doing Business As | CHURCH STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER KONECNY CFO, Owner, Pharm D 615-446-8043 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5362) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-03-31 |
Last Update Date | 2014-09-29 |