| NPI | 1154780716 |
|---|---|
| Doing Business As | ETSU CHARITABLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID D COLLINS CFO, VP Finance Admin 423-439-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TN 5399) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |