| NPI | 1174535405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE HOLTSFORD Director, Business Office Services 615-465-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: GA PHRE007291) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-11-06 |