| NPI | 1457310526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MARIE COLE Operations Manager 615-327-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 946) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 228) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2017-06-21 |