| NPI | 1003354614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SINTZ PIC/Managing Member 615-930-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000005944) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-04-26 |