| NPI | 1124266390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY MCCORMICK Owner 615-824-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TN 3782) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |