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Organization
SMYRNA DRUG LP
Active
Organization
SMYRNA DRUG LP
Active
Other names
STONECREST REXALL DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN LEE COLE (OWNER PHARMACIST)
(615) 459-3411
Entity
Organization
Contact information
Practice address
300 STONECREST BLVD STE 130, SMYRNA, TN 37167-5689
(615) 459-5117
(615) 459-5106
Mailing address
300 STONECREST BLVD STE 130, SMYRNA, TN 37167-5689
(615) 459-5117
(615) 459-5106
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3924
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4436831
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/16/2006
Last updated
02/11/2008
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