NPI | 1255102166 |
---|---|
Doing Business As | ST. MARY'S HEALTH WAGON |
Entity Type | Organization |
Authorized Contact | JENNIFER LYNDEN HAMMONS Pharmacist In Charge 276-346-8850 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2024-01-10 |
Last Update Date | 2024-01-10 |