| NPI | 1578242426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN RAEWYN SNODDERLY Pharmacist In Charge 423-562-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |