| NPI | 1982214151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MULHERIN Pharmacist In Charge/ Owner 731-772-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-09-27 |