| NPI | 1710304837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MATTHEW COX Owner 865-922-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 5348) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2023-10-27 |