# GEAN COMPANIES-CLIFTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willoughby Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124187802
- **Authorized official:** DR. WILLIAM MCBATH GRAHAM PHARMD (MANAGER/PHARMACIST IN CHARGE)
- **Authorized official phone:** (931) 676-3318

## Contact information

- **Practice address:** 104 MAIN STREET, CLIFTON, TN 38425
- **Practice address phone:** (931) 676-3318
- **Practice address fax:** (931) 676-3450
- **Mailing address:** PO BOX 194, CLIFTON, TN 38425
- **Mailing address phone:** (931) 676-3318
- **Mailing address fax:** (931) 676-3450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | 1254 | TN | — |
| 3336C0004X | Compounding Pharmacy | — | — | — |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 02/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2095243 | PK | — |
| 05 | — | 3452202 | — | TN |
