| NPI | 1467665760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN F BRADLEY Authorized Official 615-614-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 3938) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-09-29 |