NPI | 1902320989 |
---|---|
Doing Business As | COLONIAL HEIGHTS PHARMACY |
Entity Type | Organization |
Authorized Contact | KIMBERLY ODLE Co Owner 423-239-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 500) |
Enumeration Date | 2017-08-01 |
Last Update Date | 2023-12-18 |