| NPI | 1164596706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ROARK Pharmacist 423-569-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 1948) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |