NPI | 1548999436 |
---|---|
Doing Business As | FUNDERBURKS PHARMACY-INDEPENDENCE |
Entity Type | Organization |
Authorized Contact | CHERYL M. SUDDUTH President 662-429-5337 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2022-06-07 |
Last Update Date | 2022-11-14 |