NPI | 1760783641 |
---|---|
Doing Business As | CAVALIER PHARMACY |
Entity Type | Organization |
Authorized Contact | DEREK HOLYFIELD Managing Member 731-692-3578 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4823) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2010-11-09 |
Last Update Date | 2023-03-31 |