| NPI | 1962512517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 423-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY46840) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-05-28 |