NPI | 1306920434 |
---|---|
Doing Business As | BLUE FRONT DRUG |
Entity Type | Organization |
Authorized Contact | JOE HERD PIC/President 931-967-2251 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 1204) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-01-14 |