| NPI | 1003538190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA BOAHEMAA POKU PIC 615-470-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-10-23 |