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Organization
RENEGAR DRUG STORE
Active
Organization
RENEGAR DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY CHILDERS D.P.H. (OWNER/PHARMACIST)
(931) 684-1933
Entity
Organization
Contact information
Practice address
629 N MAIN ST, SHELBYVILLE, TN 37160-3235
(931) 684-1933
(931) 684-8739
Mailing address
629 N MAIN ST, SHELBYVILLE, TN 37160-3235
(931) 684-1933
(931) 684-8739
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3868
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3544640
—
TN
Enumeration date
06/25/2006
Last updated
08/22/2020
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