NPI | 1598074411 |
---|---|
Doing Business As | SULLIVANS HOMETOWN PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | DONALD SULLIVAN President 931-474-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4794) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-09-27 |
Last Update Date | 2010-10-14 |