NPI | 1780451351 |
---|---|
Doing Business As | WALDEN DRUG |
Entity Type | Organization |
Authorized Contact | JEREMY HANCOCK Owner/PIC 870-236-6118 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-12-05 |
Last Update Date | 2023-12-05 |