| NPI | 1760580609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY WALTON President 423-245-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 2008) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0417510001) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-02-01 |