| NPI | 1043612880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E STINNETT CEO 270-392-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5451) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2023-08-24 |