| NPI | 1437216694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FOGARTY VP Of Finance/Reimbursement 901-478-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-05-01 |