NPI | 1588186324 |
---|---|
Doing Business As | MEMORIAL HOSPITAL AND MANOR LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | KAREN FAIRCLOTH Credentialing Coordinator 229-243-6100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-07-21 |