| NPI | 1962746990 |
|---|---|
| Doing Business As | BOATWRIGHT PHARMACY ATOKA |
| Entity Type | Organization |
| Authorized Contact | EMILY PROVENCE Owner 901-489-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 00003780) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-02-20 |