| NPI | 1093364952 |
|---|---|
| Doing Business As | CONVENIENT RX LTC #3 |
| Entity Type | Organization |
| Authorized Contact | GREGORY LAMAR YARBROUGH CEO 229-668-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |