NPI | 1790402246 |
---|---|
Doing Business As | JEFF'S LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | KENT F. WILLIAMS Owner 270-765-2157 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-10-25 |
Last Update Date | 2022-10-25 |