| NPI | 1548202211 |
|---|---|
| Doing Business As | OCOEE PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOE MOORE Pharmacist 423-667-8532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 3922) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2015-09-04 |