Organization
MEDICAL CENTER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MOORE (OWNER)
(423) 476-5547
Entity
Organization
Contact information
Practice address
2401 N OCOEE ST, CLEVELAND, TN 37311-3853
(423) 476-5547
(423) 472-0125
Mailing address
PO BOX 3240, CLEVELAND, TN 37320-3240
(423) 476-5547
(423) 472-0125
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000700
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3524217
—
TN
Enumeration date
12/05/2006
Last updated
06/29/2017
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