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 |