| NPI | 1912755919 |
|---|---|
| Doing Business As | TOM'S FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARY KATHRINE DETRAZ CEO 270-885-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |