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 |