Organization
CLARKSVILLE MEDICAL SOLUTIONS
Active
Organization
CLARKSVILLE MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA HENRY (TECH)
(931) 919-2491
Entity
Organization
Contact information
Practice address
2622 MADISON ST STE A, CLARKSVILLE, TN 37043-6549
(931) 919-2491
(931) 919-2488
Mailing address
2622 MADISON ST, SUITE A, CLARKSVILLE, TN 37043-5284
(931) 919-2491
(931) 919-2488
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5120
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138192
PK
—
Enumeration date
12/13/2012
Last updated
11/14/2018
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