| NPI | 1912452590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED SHAJIUDDIN Owner/Administrator 615-686-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 00005866) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2017-02-15 |