Organization
THREE OAKS PHARMACY, LLC
Active
Organization
THREE OAKS PHARMACY, LLC
Active
Other names
Three Oaks Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HOLYFIELD PHARM. D (MANAGING MEMBER)
(731) 618-1787
Entity
Organization
Contact information
Practice address
259 THREE OAKS DR, SUITE A, MEDINA, TN 38355
(731) 783-3300
(731) 783-3900
Mailing address
259 THREE OAKS DR STE A, MEDINA, TN 38355-1501
(731) 783-3300
(731) 783-3900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00005271
TN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033190
—
TN
Enumeration date
10/30/2013
Last updated
12/10/2019
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