| NPI | 1982198388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PETERS President And Managing Member 901-201-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20878) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |