| NPI | 1417177528 |
|---|---|
| Doing Business As | SOUTHEAST TN REG PUBLIC HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUDY K SHAW Accountant 3 423-634-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |