| NPI | 1073288544 |
|---|---|
| Doing Business As | EASTRIDGE-PHELPS PHARMACY, CAMPBELLSVILLE |
| Entity Type | Organization |
| Authorized Contact | CHAD W. PHELPS Owner/Operator 270-299-2333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |