| NPI | 1730796483 |
|---|---|
| Other Name | BAPTIST BOONEVILLE OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-30 |