Organization
COMMUNITY PHARMACY OF GREENEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY J LEWIS D.PH. (PHARMACIST/OWNER)
(423) 588-5099
Entity
Organization
Contact information
Practice address
1402 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 588-5099
(423) 588-5935
Mailing address
1402 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 588-5099
(423) 588-5935
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00005494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036581
—
TN
Enumeration date
12/09/2014
Last updated
06/02/2025
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