| NPI | 1447619572 |
|---|---|
| Doing Business As | CORNERSTONE PHARMACY GENTRY |
| Entity Type | Organization |
| Authorized Contact | ZACH HOLDERFIELD Owner, PIC, AO 870-814-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20833) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-03-31 |