| NPI | 1811184203 |
|---|---|
| Doing Business As | PHIPPS PHARMACY #3 |
| Entity Type | Organization |
| Authorized Contact | JERRY ROBERT PHIPPS President & CEO 731-352-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4440) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2015-11-17 |