| NPI | 1659919728 |
|---|---|
| Doing Business As | ST. AGNES COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT FURNISS Sr. VP/Chief Financial Officer 667-234-3130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |