| NPI | 1063553790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY CULLEN COOKE Director Of Pharmacy 731-935-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN C984) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |