| NPI | 1861404139 |
|---|---|
| Doing Business As | DEL MAR MEDICAL |
| Entity Type | Organization |
| Authorized Contact | MICKEY JACKSON Owner/President 615-754-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 2078) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: TN 2078) |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TN 2078) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2017-03-09 |