| NPI | 1497588156 |
|---|---|
| Doing Business As | FARMERVILLE DRUG CO LTC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY BAUM Co Owner 318-502-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |