| NPI | 1770676124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BANDY Owner 615-325-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TN 3896) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |