| NPI | 1093753196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BAIRD Owner / Pharmacist / President 423-784-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 472) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-09-01 |