| NPI | 1720121643 |
|---|---|
| Doing Business As | COLLEGE PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAD BARCLAY HUNTSMAN Managing Member 423-586-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 706) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-07-18 |