| NPI | 1265446553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JAY BAGGETT Pharmacist/Owner 865-376-6452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 214) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 214) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2021-02-18 |