| NPI | 1104207166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL BAKER CEO 901-921-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5579) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |