| NPI | 1760528806 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | GARY RAYFORD KEEL Chief Manager 423-892-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4141) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 4141) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-04-29 |