| NPI | 1073606604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SMITH Owner/Pharmacist 423-559-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA 6116) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-02-20 |