NPI | 1023120037 |
---|---|
Doing Business As | MEDICINE SHOPPE |
Entity Type | Organization |
Authorized Contact | JOSEPH R. ELLIS Pharmacist Owner 901-363-0750 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: TN 2151) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-03-07 |