Organization
NU-LIFERX, LLC
Active
Other names
Nu-LifeRx
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVID HOLBROOK PHARMD, DPH (PHARMACY MANAGER)
(423) 328-3446
Entity
Organization
Contact information
Practice address
880 BOONES STATION RD, JOHNSON CITY, TN 37615-4402
(423) 328-3446
(423) 328-3461
Mailing address
1374 WEAVER BRANCH RD, PINEY FLATS, TN 37686-3716
(276) 298-9157
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q090599
—
TN
Enumeration date
02/16/2024
Last updated
05/02/2025
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