| NPI | 1164144648 |
|---|---|
| Doing Business As | SURGOINSVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BETH BRYAN Owner 423-345-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |