| NPI | 1174834758 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTTY WYATT Member 865-588-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 128) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2011-05-16 |