| NPI | 1275605560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DERRELL BEARD Pharmacist In Change/Co Owner 423-894-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 12995) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2019-06-03 |