| 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 |