NPI | 1679811731 |
---|---|
Doing Business As | THOMAS DRUG STORE |
Entity Type | Organization |
Authorized Contact | VANCE T WALL CEO/President 877-645-3506 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009897) |
Additional Taxonomies | 333600000X Pharmacy (Licence: GA PHRE009897) |
Enumeration Date | 2013-01-24 |
Last Update Date | 2013-01-29 |