| NPI | 1306142716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN W ALEXANDER COO 615-986-4102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN 11294) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |