| NPI | 1265580815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON D BISHOP President 931-839-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 665) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 689) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |