| NPI | 1144386855 |
|---|---|
| Doing Business As | SUSAN E INGRAM CENTER |
| Entity Type | Organization |
| Authorized Contact | TOM GRIFFIN Controller 901-622-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 3856) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-07-09 |