| NPI | 1053719914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY J LEWIS Pharmacist/Owner 423-588-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 00005494) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2025-06-02 |