| NPI | 1518443241 |
|---|---|
| Doing Business As | FOUNTAINRX |
| Entity Type | Organization |
| Authorized Contact | JOSEPH HUNTSMAN Chief Executive Officer 423-307-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2021-02-03 |