| NPI | 1619003399 |
|---|---|
| Doing Business As | COLONIAL HEIGHTS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARTHA M DUNN Pharmacist / PIC 423-239-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 500) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-10-13 |