| NPI | 1811373491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A CARROLL Owner/Pharmacist In Charge 731-925-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 5604) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2016-08-30 |