| NPI | 1518153972 |
|---|---|
| Doing Business As | GOODLARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARTHA SHEPARD Owner/ Pharmacist 615-446-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 324) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 324) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2009-03-06 |