| NPI | 1821332750 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALLEN PRIMROSE Owner/Pharmasict In Charge 731-772-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5116) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-02-20 |