| NPI | 1134251093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE A WILLIFORD President 423-899-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN DPO0000000291) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |