| 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 |