| NPI | 1528125911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN SCHNEIDER Owner 901-753-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN 04949957) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-01-29 |