| NPI | 1760852776 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authroized Official 615-234-5900  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site | 
| Enumeration Date | 2015-10-02 | 
| Last Update Date | 2019-05-06 |