| NPI | 1386665347 |
|---|---|
| Doing Business As | VANS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BECKY TEAL PIC / VP Ops / Owner 731-587-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000000661) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-04-20 |