| NPI | 1730249475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL REGEL Owner 901-388-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 11) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-10-26 |