| NPI | 1457709024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LEE MCDOWELL Pharmacy Manager 901-355-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 13320) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |