NPI | 1275622961 |
---|---|
Doing Business As | OLDE TOWNE PHARMACY |
Entity Type | Organization |
Authorized Contact | JOSHUA NOLEN CLOYD President/Pharmacist In Charge 423-753-4446 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 1980) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-08-23 |