| NPI | 1164433710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HUMPHREY Director 901-595-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: TN 843) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-08-15 |