| NPI | 1598152498 |
|---|---|
| Doing Business As | THE PHOENIX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CALEB MARCUM SELBY Co Owner/Pharmacist 865-692-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5551) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-11-11 |