| NPI | 1487854634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KELLOG Pharmacy Director 931-459-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: TN 0000000231) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |