Organization
MAYNARDVILLE DRUG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIMMONS HALFORD PHARM D. (OWNER/PIC)
(865) 278-7895
Entity
Organization
Contact information
Practice address
2975 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807
(865) 658-5353
(865) 658-5354
Mailing address
PO BOX 990, NEW TAZEWELL, TN 37824-0990
(865) 278-7895
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
01/06/2021
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