| NPI | 1538619614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS JAFFURS Owner 865-671-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: LA PHY.007379-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-07-19 |