| NPI | 1396281366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WISTHOFF Pharmacist In Charge 615-462-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000005943) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-04-05 |