| NPI | 1265514046 |
|---|---|
| Doing Business As | VANTREESE DISCOUNT PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | BROOKE MCMASTER Manger/PIC 731-423-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 290) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-12-12 |