| NPI | 1699977975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ANN WILLIAMS Pharmacist 1731-632-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 3670) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-06-13 |