Medical Mall Pharmacy INC

NPI #1598768699 in Bristol, Tennessee

Provider Information

NPI Number
1598768699
Entity Type
Organization
Organization Name
Medical Mall Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 23, 2005
Last Updated
Apr 30, 2009

Practice Location

Address
1 MEDICAL PARK BLVD
Address 2
SUITE 106-E
ZIP Code
37620-7430
Phone
(423) 844-2888

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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