| NPI | 1265811665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP J. BAKER CEO 901-921-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TN 5558) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |