| NPI | 1447293485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD T BEUERLEIN Owner 931-762-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TN 0000002244) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TN 0000002244) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-03-20 |