| NPI | 1124199146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY BRIMER President 423-586-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336I0012X Pharmacy, Institutional Pharmacy (Licence: TN 1241) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-06-18 |