| NPI | 1366854788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUANE OSBORNE Managing Member 615-351-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TN 5294) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TN 5294) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TN 5294) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2021-02-16 |