| NPI | 1275894735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMILTON BORDEN Vice President /Pharmacist 865-681-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 4986) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2024-03-06 |