NPI | 1144849050 |
---|---|
Entity Type | Organization |
Authorized Contact | PATTIE Y DOUGLAS Payer Relations Manager 615-514-6876 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-04-10 |