| NPI | 1841468790 |
|---|---|
| Doing Business As | MAIN STREET FAMILY PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTY NEWBAKER Owner 731-627-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0895) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2010-02-03 |