| NPI | 1588742779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. GOUY Sr. Vice President/ Assist. Sec. 615-221-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 20133) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 20133) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: AL 20133) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |