| NPI | 1528618360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE TETREAULT Sr. Compliance Coordinator 901-410-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |