| NPI | 1578856316 |
|---|---|
| Doing Business As | DALE HOLLOW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN POLSTON PIC 931-243-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 0000003817) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2016-11-30 |