NPI | 1740950039 |
---|---|
Entity Type | Organization |
Authorized Contact | CONTINA EVANS Owner 901-650-2832 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2021-09-17 |
Last Update Date | 2023-02-08 |