| NPI | 1033249784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON HILL GOBLE Owner/PIC 865-458-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 3437) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-07-05 |