| NPI | 1457894693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA WILLIAMS Ancillary Services Manager 901-747-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |