| NPI | 1487796272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA WARREN Manager 931-647-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 179) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 179) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2022-02-02 |