NPI | 1225502438 |
---|---|
Doing Business As | DICKSON COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | ANGELA WOOD Chief Operating Officer 615-375-1602 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |