| NPI | 1477657435 |
|---|---|
| Doing Business As | KINGWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOE MUSICK President 423-629-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 277) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-04-20 |