| NPI | 1790052157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MELTON Pharmacist 931-261-6332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 4949) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2015-06-25 |