| NPI | 1770188849 |
|---|---|
| Doing Business As | MAGNOLIA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DUSTIN BEARD Owner 423-718-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-01-04 |