NPI | 1851432702 |
---|---|
Doing Business As | FALLS ROAD PHARMACY |
Entity Type | Organization |
Authorized Contact | ERIC GIBBS Owner / PIC 606-258-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P06831) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2012-06-07 |