| NPI | 1861804692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PRINCE Pharmacy 865-286-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 5376) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2025-07-07 |