| NPI | 1952477598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SOUDER Dir Of Phrm 423-282-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TN 239) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2016-08-19 |