| NPI | 1063027258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CAMPOS-RODRIGUEZ Owner 615-622-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2021-03-02 |