| NPI | 1033280052 |
|---|---|
| Doing Business As | BEVINS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRIAN BEVINS Owner 423-928-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 1695) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-11-29 |