NPI | 1124702592 |
---|---|
Doing Business As | DELTA DRUG OF DERMOTT |
Entity Type | Organization |
Authorized Contact | CALLEY MCNEMAR Manager 870-265-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |