| NPI | 1427654623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARRETT BROOKS Owner/ Pharmacist 731-513-0882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |