| NPI | 1093324709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY CAGLE Owner 423-618-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |