Organization
PIGEON FORGE DRUGS
Active
Other names
PIGEON FORGE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KIMBLE RPH (OWNER)
(865) 453-5470
Entity
Organization
Contact information
Practice address
3346 PARKWAY, PIGEON FORGE, TN 37863-3423
(865) 453-5470
(865) 428-3677
Mailing address
PO BOX 147, PIGEON FORGE, TN 37868-0147
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088567
PK
—
05
—
4414758
—
TN
Enumeration date
08/10/2006
Last updated
09/16/2014
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