| NPI | 1194860726 |
|---|---|
| Doing Business As | MIKE'S DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN R. HENRIKSON President/Owner 423-273-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000002184) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-04-25 |