| NPI | 1720491749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W DAVIS Pharmacits. Staff 615-225-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN C005712) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |