Medical Mall Pharmacy INC

NPI #1275536997 in Kingsport, Tennessee

Provider Information

NPI Number
1275536997
Entity Type
Organization
Organization Name
Medical Mall Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 27, 2005
Last Updated
Dec 3, 2009

Practice Location

Address
130 W RAVINE RD
ZIP Code
37660-3837
Phone
(423) 224-6860

Authorized Official

Name
KRISTINE HAGEE
Title
PHARMACY SYSTEMS ANALYST
Phone
(423) 230-8432

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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