| NPI | 1700199585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE LODGE Pharmacy Manager 901-327-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000004043) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |