Organization
COMMUNITY QUICK CARE
Active
Parent organization
COMMUNITY QUICK CARE OF LAVERGNE
Other names
Community Quick Care of Columbia
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY QUICK CARE OF LAVERGNE
Authorized official
MR. JERRY ELEDGE RPH (OWNER / CEO)
(931) 490-0832
Entity
Organization
Contact information
Practice address
1412 TROTWOOD AVENUE, SUITE 39, COLUMBIA, TN 38401
(931) 490-0832
(931) 490-0834
Mailing address
1412 TROT AVENUE, SUITE 39, COLUMBIA, TN 38401
(931) 490-0832
(931) 490-0834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
11494
TN
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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