| NPI | 1801238506 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CATHERINE M BROWN Co Owner 731-925-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 6307350001) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |