| NPI | 1285759902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE F SNYDER Dic 423-323-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 2019) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |