| NPI | 1922832195 |
|---|---|
| Doing Business As | EASTRIDGE-PHELPS LTC GREENSBURG |
| Entity Type | Organization |
| Authorized Contact | CHAD W. PHELPS Member/Pharmacist 270-299-2333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |