| NPI | 1528389756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DEAN Pharmacist 423-903-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33780) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph025196) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |