| NPI | 1063575165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN EUGENE LAWRENCE Executive Director 901-369-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TN 762) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |