| NPI | 1043846769 |
|---|---|
| Doing Business As | LONG TERM CARE CDS 10 PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | DARREN G LACEFIELD Owner 270-781-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-10-12 |