| NPI | 1285030379 |
|---|---|
| Doing Business As | LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CRAIG SCHEEL President 423-473-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 5495) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2017-04-14 |