| NPI | 1487637757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MESSICK Pharmacist In Charge 615-896-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 4151) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |