NPI | 1700908001 |
---|---|
Doing Business As | BAGGETT COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | RONALD BAGGETT Owner 865-376-6452 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TN 3632) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2012-03-05 |