| NPI | 1508145806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA M. WILSON President 423-926-3338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 4905) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |