NPI | 1942652045 |
---|---|
Doing Business As | LARCO PHARMACY |
Entity Type | Organization |
Authorized Contact | RANDY CHAFFIN President/CEO 931-528-7573 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 3762) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-07-13 |
Last Update Date | 2016-11-02 |