NPI | 1053617654 |
---|---|
Doing Business As | LCR PHARMACY |
Entity Type | Organization |
Authorized Contact | BRANTLEY WESCOTT PIC 615-301-5911 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 11282) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2011-01-31 |
Last Update Date | 2017-02-16 |