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 | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2023-07-18 |