| NPI | 1619358736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RAVEN NORTHCUTT Pharmacist 615-238-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph027466) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |