| NPI | 1962906347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PHILLIP CLEAR Owner 865-934-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TN 518) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-05-09 |