| NPI | 1245994029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FRANKLIN CHILDRESS VP/ Treasure; Manager 901-340-5999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-04-08 |