| NPI | 1912049503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A DUBAN Sectary 865-577-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 568) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-03-07 |