| NPI | 1174095970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KIRKLAND RAWL Pharmacist In Charge 615-636-5182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-06-19 |