| NPI | 1023389434 |
|---|---|
| Doing Business As | ALLSTATE GOOD LIFE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERRY FORREST Vice President 901-409-7091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054017829) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2016-06-17 |