| NPI | 1134470362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOE WHALEY Owner/Pharmacist In Charge 615-848-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5064) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TN 5064) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |