| NPI | 1851633614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WATSON CEO 615-260-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114061) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-08-28 |