Organization
FIRST PHARMACY SERVICES OF COUNTRY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE PRATT (OWNER)
(901) 590-3069
Entity
Organization
Contact information
Practice address
8130 COUNTRY VILLAGE DR, CORDOVA, TN 38016-2087
(901) 590-3069
Mailing address
PO BOX 47, POPE, MS 38658-0047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0000005606
TN
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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