| NPI | 1073946091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL JONES Owner 901-231-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TN 5157) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2014-03-07 |