| NPI | 1851495451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NANCE Owner 731-668-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000000022) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-09-12 |