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 |