Organization
SABRA C RINIO
Active
Other names
SPARTA DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
SABRA C RINIO RPH (PHARMACIST/OWNER)
(931) 836-2414
Entity
Organization
Contact information
Practice address
425 N SPRING ST, SPARTA, TN 38583-1323
(931) 836-2414
(931) 836-3950
Mailing address
425 N SPRING ST, SPARTA, TN 38583-1323
(931) 836-2414
(931) 836-3950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
325
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452260
—
TN
01
—
410001606
MEDCO
—
Enumeration date
12/22/2005
Last updated
06/17/2008
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