| NPI | 1265871529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD H ABDELMAKSOUD Owner 615-753-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-09-10 |