NPI | 1770055329 |
---|---|
Doing Business As | SMALL TOWN PHARMACY |
Entity Type | Organization |
Authorized Contact | REBECCA CLAIRE RICHARDS Pharmacist/Owner 731-696-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-12-20 |
Last Update Date | 2019-05-06 |