NPI | 1154045144 |
---|---|
Doing Business As | JENNIE STUART SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | AUTUMN BAILEY Director Of PFS And Managed Care 270-887-0100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-10-03 |
Last Update Date | 2023-01-04 |