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 |