| NPI | 1174691901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY STEVENS Dir Of Phcy 865-246-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 4030) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2025-09-11 |