| NPI | 1497398226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JADE FRICKS Owner/Pdm 615-483-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-08-15 |