| NPI | 1225874043 |
|---|---|
| Doing Business As | MCHC MIDDLESBORO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DELENA P MILLER Credentialing Agent 606-633-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |