| NPI | 1851843965 |
|---|---|
| Doing Business As | SISSONVILLE HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANGELA GRACE STONE Lead Pharmacist 681-205-8730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2025-07-16 |