| NPI | 1114464211 |
|---|---|
| Doing Business As | WALNUT GROVE PLAZA PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | ARTHUR MAPLES Director 901-227-4137 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000005929) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-02-14 |