| NPI | 1710207188 |
|---|---|
| Doing Business As | EAST TALLASSEE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY D JERKINS Owner 334-252-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113373) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-02-21 |