| NPI | 1386621696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B BINGHAM Owner 423-247-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 1285) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-07-01 |