| NPI | 1366965576 |
|---|---|
| Doing Business As | MOULTRIE PHARMACY AT LANGTOWN |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DAVID MOULTRIE Owner 256-566-3174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |