| NPI | 1831272129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KENNETH CANTWELL Owner Chief Pharmicist 423-586-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy (Licence: TN 0000001975) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-02-28 |