| NPI | 1992567234 |
|---|---|
| Doing Business As | FOUNTAINRX |
| Entity Type | Organization |
| Authorized Contact | JOSEPH HUNTSMAN CEO 423-307-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |