| NPI | 1295844413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN LYNN CALDWELL President Of Corporation Owner Phar 615-597-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 1552) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |