| NPI | 1649594094 |
|---|---|
| Doing Business As | MARTIN LUTHER KING JR COMMUNITY HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA NIKITIN EVP, CFO 346-426-0462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2022-07-13 |