| NPI | 1528154259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE D RAY Administrator 423-624-8281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: TN 0000003054) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |