| NPI | 1770525586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHAMPION Pharmacist Owner 901-948-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 0000000293) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |