NPI | 1568437945 |
---|---|
Doing Business As | EASTWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | MAC CASEY VERNON PIC/Owner 731-642-0451 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TN 311) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2015-04-07 |