Organization
TRICARE PHARMACY LLC
Active
Other names
PrimeCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEOBU PETER RPH (PHCY MGR,PIC,AO)
(571) 315-9906
Entity
Organization
Contact information
Practice address
710 NASHVILLE PIKE STE 101, GALLATIN, TN 37066-4592
(615) 461-7078
(615) 461-8864
Mailing address
710 NASHVILLE PIKE STE 101, GALLATIN, TN 37066-4592
(615) 461-7078
(615) 461-8864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000005044
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137141
PK
—
05
—
Q036762
—
TN
Enumeration date
09/18/2012
Last updated
09/19/2025
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