| NPI | 1518250141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HIRT Administrator 615-330-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: KY TN1567) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TN 4647) |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2021-09-03 |