| NPI | 1265083141 |
|---|---|
| Doing Business As | MOUNTAIN CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROXANN CORDIAL Credentialing 606-886-8572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-07-10 |