| NPI | 1609415934 |
|---|---|
| Doing Business As | IVY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALI BAGHERI President/CEO 423-747-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |