| NPI | 1083759963 |
|---|---|
| Doing Business As | PHIPPS PHARMACY WAVERLY |
| Entity Type | Organization |
| Authorized Contact | JERRY ROBERT PHIPPS Owner 731-352-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-08-23 |