| NPI | 1134290075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACK A. EVANS Owner 931-762-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 255) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-09-18 |