| NPI | 1619753514 |
|---|---|
| Doing Business As | MIDTOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CLINTON ROY HOWARD Owner 251-510-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |