| NPI | 1487349122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMAN ALI Pharmacist In Charge 901-857-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-13 |