| NPI | 1881292431 |
|---|---|
| Doing Business As | HEARTLAND APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | DAVID RANDALL MARTIN Owner 865-909-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |