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Organization
KIZER PHARMACY LLC
Active
Organization
KIZER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SMITH KIZER PHARM.D (OWNER/ PRESIDENT)
(731) 885-2226
Entity
Organization
Contact information
Practice address
1117 S MILES AVE, STE. 1, UNION CITY, TN 38261-5439
(731) 885-2226
(731) 885-2291
Mailing address
1117 S MILES AVE, STE. 1, UNION CITY, TN 38261-5439
(731) 885-2226
(731) 885-2291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10005
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454376
—
TN
01
—
4073242
BLUE CROSS BLUE SHIELD
TN
05
—
PENDING
—
KY
Enumeration date
04/27/2006
Last updated
11/03/2008
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