| NPI | 1942181037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY FOGARTY VP Of Finance 901-478-1057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |