| NPI | 1780695353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL GRIZZLE Owner 423-246-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 0000000509) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-03-06 |