| NPI | 1649785908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ALLEN Pharmd 901-503-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-07-19 |