| NPI | 1619195351 |
|---|---|
| Doing Business As | JEFFERSON COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK W GREENE Owner Pharmacist 865-483-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 1122) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-18 |