| NPI | 1770878969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY WADDELL Pharmacy Site Manager/PIC 423-431-1570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 04640) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |