| NPI | 1427155142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL LEE ALLEN Pharmacist 615-790-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 3853) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |