| NPI | 1063110039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHANE REEVES CEO, President, Secretary, AO 615-278-3146 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |