| NPI | 1033974126 |
|---|---|
| Doing Business As | NU-LIFERX |
| Entity Type | Organization |
| Authorized Contact | ROBERT DAVID HOLBROOK Pharmacy Manager 423-328-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2025-05-02 |