NPI | 1992248702 |
---|---|
Doing Business As | ANOVORX GROUP, LLC |
Entity Type | Organization |
Authorized Contact | JON PETERS President, Managing Member And Dire 901-201-5484 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR OS02761) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 15077/7.1) |
333600000X Pharmacy (Licence: MO 2017009958) | |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5905) | |
Enumeration Date | 2016-11-28 |
Last Update Date | 2017-04-24 |