| NPI | 1932425725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R. NYQUIST Owner 615-771-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: TN 10844) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |