| NPI | 1295320836 |
|---|---|
| Other Name | PHIPPS PACK |
| Entity Type | Organization |
| Authorized Contact | JERRY ROBERT PHIPPS President And CEO 731-352-0820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |