| NPI | 1295020741 |
|---|---|
| Doing Business As | ETOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED SHAJIUDDIN Owner, Administrator 615-686-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07451) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-07-01 |