| NPI | 1174946875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KONAK Director Of Pharmacy Billing 615-826-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KY P07607) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |