NPI | 1699271999 |
---|---|
Doing Business As | MOUSE CREEK PHARMACY |
Entity Type | Organization |
Authorized Contact | JASON BRADLEY Owner 423-790-0443 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 6274) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-04-04 |
Last Update Date | 2022-04-07 |