| NPI | 1972235026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL ADAMS Owner, Pharmacist 270-600-6337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-09-06 |