| NPI | 1750413407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETA J. STANDEFER Owner 423-877-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TN 3806) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-16 |