| NPI | 1750107397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRLLOS BOTROS Pharmacy Manager 615-918-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2025-06-12 |