| NPI | 1215176854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PRUITT Pharmacy Manager 615-562-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 5005) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2016-08-04 |