Organization · Type 2 NPI

State of Tennessee

Clinic Pharmacy · Jackson, TN

NPI number 1386863314 Active

About NPI 1386863314

State of Tennessee's National Provider Identifier is 1386863314, issued on Apr 25, 2007. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Jackson, TN. The record was last updated on Sep 1, 2010.