| NPI | 1669412144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI S UPCHURCH Pharmacist/Owner 931-484-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 60) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |