| NPI | 1093205346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI SCIOSCIA Pharmacist In Charge 931-563-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 6298) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-07-27 |