| NPI | 1700037595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE PRATT Vice President 901-355-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 4573) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2017-04-19 |