| NPI | 1073170718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER RAHBE Pharmacist In Charge (Sole Member A 423-227-7737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-12-31 |