| NPI | 1407007222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY NEWBAKER Owner 731-627-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 0000000895) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000000895) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |