| NPI | 1326760638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROD JOSEPH JUILLERAT Pharmacy Manager 615-750-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-03-17 |