| NPI | 1689610008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W BRADLEY President 615-383-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 4025) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-01-29 |