NPI | 1073605713 |
---|---|
Doing Business As | TULLAHOMA DRUG STORE INC |
Entity Type | Organization |
Authorized Contact | DAVID MCGEE President 931-455-5409 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 1176) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2018-07-19 |