| NPI | 1487818571 |
|---|---|
| Doing Business As | STONEBRIDGE APOTHECARY LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID HUETER Owner 721-608-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TN 4535) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2010-08-11 |