| NPI | 1275917221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SHAVER Director Of Reimbursement 423-778-4712 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2020-07-15 |