NPI | 1518481134 |
---|---|
Doing Business As | ST. JOHN VALLEY PHARMACY |
Entity Type | Organization |
Authorized Contact | DUSTIN BUTLER CEO 207-316-8556 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-07-26 |
Last Update Date | 2017-07-26 |