| NPI | 1760888515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUES JACKSON Pharmacy Manager 615-622-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 14501) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |