| NPI | 1457040420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MATTHEW CRAWFORD President 865-524-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |