| NPI | 1073081972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KURTZ Manager Of Contracting 615-278-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |