| NPI | 1134313554 |
|---|---|
| Doing Business As | MULBERRY STREET PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | JOESPH RATLEDGE PIC 865-458-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN TN4431) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-09-15 |