NPI | 1477019719 |
---|---|
Doing Business As | CLUTCH PHARMACY |
Entity Type | Organization |
Authorized Contact | RANDY MIRE President 985-536-3957 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
Enumeration Date | 2019-02-12 |
Last Update Date | 2019-02-12 |