| NPI | 1669482683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENDE GINN Pharmacist/Owner 901-274-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 3957) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-08-10 |