| NPI | 1114461910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANTLEY WESCOTT Vice President 615-301-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5924) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2017-03-06 |