| NPI | 1013075514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ROARK Pharmacist 423-569-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 2315) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-03-07 |