| NPI | 1477698587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY PAYNE KELLEY Director Of Pharmacy 423-526-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: TN 1357) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-07-08 |