| NPI | 1770315665 |
|---|---|
| Doing Business As | EAGLE DEN DISCOUNT DRUG |
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE BULLINGTON President 901-355-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-23 |