| 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 |