| NPI | 1700971264 |
|---|---|
| Doing Business As | PHIPPS PHARMACY #4 |
| Entity Type | Organization |
| Authorized Contact | JERRY ROBERT PHIPPS Pharmacist/President/CEO 731-352-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 308) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TN 308) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 308) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-05-31 |