| NPI | 1720650120 |
|---|---|
| Doing Business As | NORTH CENTURY PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | EASTON BRYANT Pharmacist/Owner 270-380-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-10-13 |