| NPI | 1639812639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE COOPER Owner/President 865-604-6985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |