| NPI | 1952496804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WILSON Chief Pharmacist 423-265-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 2054) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-06-18 |