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 |