| NPI | 1598768699 |
|---|---|
| Doing Business As | MEDICAL MALL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRISTINE HAGEE Pharmacy Systems Analyst 423-230-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 2964) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-04-30 |