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Organization
FIRST PHARMACY SERVICES OF COUNTRY VILLAGE
Active
Organization
FIRST PHARMACY SERVICES OF COUNTRY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE PRATT (OWNER)
(901) 590-3069
Entity
Organization
Contact information
Practice address
8130 COUNTRY VILLAGE DR, CORDOVA, TN 38016-2087
(901) 590-3069
Mailing address
PO BOX 47, POPE, MS 38658-0047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0000005606
TN
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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