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Organization
FAMILY MEDICAL CENTER PHARMACY INC
Active
Organization
FAMILY MEDICAL CENTER PHARMACY INC
Active
Other names
Family Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE DAUGHTRY (PRESIDENT)
(615) 597-4988
Entity
Organization
Contact information
Practice address
300 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4988
(615) 597-5321
Mailing address
300 N CONGRESS BLVD, SMITHVILLE, TN 37166-2704
(615) 597-4988
(615) 597-5321
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1125
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400646
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2006
Last updated
12/01/2011
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