NPI | 1689153306 |
---|---|
Doing Business As | FAMILY PHARMACY #11 |
Entity Type | Organization |
Authorized Contact | ROY MEIDINGER Vice President 980-422-3584 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |