| NPI | 1770645475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. R. DYKES Partner Pharmacist 423-442-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 653) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 653) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2008-06-17 |