| NPI | 1922158245 |
|---|---|
| Doing Business As | FOUNTAIN CITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KENTON PAGE Pharmacist/Owner 865-688-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 102) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-05-05 |