| NPI | 1508309832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE M KALUGENDO Pharmacist 615-717-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 0015740) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |