# GLEASON CITY DRUG STORE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** City Drug Store
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336282227
- **Authorized official:** KRISTA R. MORSE DPH (OWNER)
- **Authorized official phone:** (731) 648-5146

## Contact information

- **Practice address:** 102 MAIN ST, GLEASON, TN 38229-7268
- **Practice address phone:** (731) 648-5146
- **Practice address fax:** (731) 648-5524
- **Mailing address:** 102 MAIN ST, GLEASON, TN 38229-7268
- **Mailing address phone:** (731) 648-5146
- **Mailing address fax:** (731) 648-5524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 5352 | TN | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020