NPI | 1982621959 |
---|---|
Doing Business As | MAC'S EDGEMOOR PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL WILHOIT Vice President 865-945-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 611) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2017-01-17 |