| NPI | 1902309446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON MOTLOW Office Manager 901-921-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.007594.IR) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |