| NPI | 1831286038 |
|---|---|
| Other Name | IRVINE DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | LARRY H PAFFORD Owner / Pharmacist 731-696-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 104) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2008-07-21 |