| NPI | 1891837290 |
|---|---|
| Doing Business As | CHRIST COMM HEALTH SVS- BROAD AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRACY MCDANIEL CEO 901-842-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4203) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-12-06 |