| NPI | 1487535787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOCH ELLERSON HARTMAN Owner 615-454-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |