NPI | 1154109601 |
---|---|
Doing Business As | CORNERSTONE PHARMACY LAKEWOOD LTC |
Entity Type | Organization |
Authorized Contact | KENNY HARRISON Owner 501-580-1895 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-09-18 |
Last Update Date | 2024-08-23 |