| NPI | 1639582034 |
|---|---|
| Doing Business As | PURE LIFE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY HOOVER Owner 251-424-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114357) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2016-09-13 |