| NPI | 1073940334 |
|---|---|
| Doing Business As | BOONES CREEK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK GUIMOND Owner/PIC 423-283-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 0000002064) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-04-07 |