NPI | 1235570334 |
---|---|
Doing Business As | KAVANAUGH PHARMACY |
Entity Type | Organization |
Authorized Contact | ANNE PACE Owner PIC 501-664-3855 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AR AR04183) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2013-07-17 |
Last Update Date | 2023-05-12 |