| NPI | 1669783015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BURCHELL Pharmacy Superviser 423-899-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000009559) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |