# HARDEMAN COUNTY COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558721233
- **Authorized official:** LINDA LOVELACE (CFO)
- **Authorized official phone:** (731) 658-5294

## Contact information

- **Practice address:** 629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
- **Practice address phone:** (731) 658-5294
- **Mailing address:** 629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
- **Mailing address phone:** (731) 658-5294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 5764 | TN | Yes |
| 183500000X | Pharmacist | 6909 | MS | — |
| 183500000X | Pharmacist | PD11747 | AR | — |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 02/24/2016