NPI | 1831134972 |
---|---|
Doing Business As | BLOUNT DISCOUNT PHARMACY - WEST |
Entity Type | Organization |
Authorized Contact | AMANDA ODUM Owner/PIC 865-681-0520 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 3160) |
Additional Taxonomies | 163WD0400X Registered Nurse Diabetes Educator |
333600000X Pharmacy | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2024-01-21 |