Organization
LORETTO DRUGS L L C
Active
Other names
LORETTO DRUGS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WAYNE (PIC)
(931) 853-5920
Entity
Organization
Contact information
Practice address
106 CHURCH ST, LORETTO, TN 38469-2143
(931) 853-5910
(931) 853-5930
Mailing address
PO BOX 278, LORETTO, TN 38469-0278
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093982
PK
—
Enumeration date
07/30/2006
Last updated
12/01/2016
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