Organization
BRETTHAVEN INC
Active
Other names
Algood Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL CROSS (OWNER/CEO)
(931) 537-3211
Entity
Organization
Contact information
Practice address
606 W MAIN ST, SUITE A, COOKEVILLE, TN 38506-5325
(931) 537-3211
(931) 537-9994
Mailing address
263 HAVEN LN, COOKEVILLE, TN 38506-5756
(931) 537-6782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4740
TN
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123391
PK
—
Enumeration date
01/15/2010
Last updated
02/20/2017
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