| NPI | 1356030480 |
|---|---|
| Doing Business As | COKER-HAMPTON DRUG LTC |
| Entity Type | Organization |
| Authorized Contact | JAMES WAYNE BETHEA PIC 870-673-2691 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |