NPI | 1649310038 |
---|---|
Doing Business As | WALNUT GROVE PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 2173) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2022-02-04 |