NPI | 1528512357 |
---|---|
Doing Business As | EASLEY HEALTHMART PHARMACY |
Entity Type | Organization |
Authorized Contact | JERRY SHELBY Owner,PIC, AO 256-503-5535 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 16737) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-09-12 |