Organization
WEST TN PHARMACEUTICAL CARE, LLC
Active
Organization
WEST TN PHARMACEUTICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SHOFE RPH (MEMBER, MANAGER)
(731) 554-9872
Entity
Organization
Contact information
Practice address
24 NOLAN CV, JACKSON, TN 38305
(731) 554-9872
(731) 554-9874
Mailing address
24 NOLAN COVE, JACKSON, TN 38305
(731) 554-9872
(731) 554-9874
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4669
TN
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517572
—
TN
Enumeration date
07/07/2009
Last updated
01/04/2019
Update your record
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