| NPI | 1548512361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WILSON BRADLEY President 615-383-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5091) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |