| NPI | 1891170437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COBBINA BENSON ADJEI Pharmacist 901-281-5762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: TN 5592) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |