| NPI | 1134682693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILHOIT President 865-806-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |