| NPI | 1316580939 |
|---|---|
| Doing Business As | J&R PHARMACY OF DRAFFENVILLE |
| Entity Type | Organization |
| Authorized Contact | JAMES BLAKE WISEMAN PIC 270-527-9374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2019-10-27 |