| NPI | 1205280807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TATUM-CRANFORD President 931-836-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 2929) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-05-14 |