| NPI | 1437290921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ALBERT PETTY Pharmacist In Charge 931-484-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN c-0228) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-30 |