| NPI | 1356103782 |
|---|---|
| Doing Business As | COLONIAL HEIGHTS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ODLE Owner 423-239-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |