| NPI | 1124883574 |
|---|---|
| Doing Business As | MOUNTAIN CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROXANN CORDIAL Credentialing Manager 606-886-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |