| NPI | 1699453985 |
|---|---|
| Doing Business As | CENTRAL DRUG STORE LTC |
| Entity Type | Organization |
| Authorized Contact | KEITH BERNARD MEDLEY Partner 423-476-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |