| NPI | 1518459866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE W WARAREN Owner 865-317-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 6382) |
| Enumeration Date | 2018-06-02 |
| Last Update Date | 2018-06-02 |