| NPI | 1992139232 |
|---|---|
| Doing Business As | PRESCRIPTION SHOPPE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE STEPHENS President 270-634-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |