# PRINCETON DRUG

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

## Provider details

- **NPI number:** 1912900663
- **Authorized official:** MR. MARK A REED (PHARMACIST)
- **Authorized official phone:** (423) 282-1178

## Contact information

- **Practice address:** 105 BROYLES DR, JOHNSON CITY, TN 37601-2542
- **Practice address phone:** (423) 282-1178
- **Practice address fax:** (423) 282-0462
- **Mailing address:** 105 BROYLES DR, JOHNSON CITY, TN 37601-2542
- **Mailing address phone:** (423) 282-1178
- **Mailing address fax:** (423) 282-0462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | 1751 | TN | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 11/13/2015