| NPI | 1104057579 |
|---|---|
| Doing Business As | HEARTLAND APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | CHARLES R WALL Owner 865-909-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 4499) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2020-10-08 |