| NPI | 1376082123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COBBINA BENSON ADJEI Pharmacist 901-281-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 005953) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-03-13 |