| NPI | 1699290577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON ALLEN MOTLOW Office Manager 901-921-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31513) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-07-21 |