| NPI | 1851533863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY RABY PIC 423-364-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 4633) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2012-03-15 |