NPI | 1750394342 |
---|---|
Doing Business As | CCARE |
Entity Type | Organization |
Authorized Contact | JEDIDIAH M MONSON Owner 615-252-7212 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA G74904) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2022-05-10 |