| NPI | 1528784089 |
|---|---|
| Doing Business As | TABLE ROCK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JESSICA ERIN STOUT President 828-438-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-19 |