Organization
GEAN COMPANIES-CLIFTON, LLC
Active
Other names
Willoughby Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MCBATH GRAHAM PHARMD (MANAGER/PHARMACIST IN CHARGE)
(931) 676-3318
Entity
Organization
Contact information
Practice address
104 MAIN STREET, CLIFTON, TN 38425
(931) 676-3318
(931) 676-3450
Mailing address
PO BOX 194, CLIFTON, TN 38425
(931) 676-3318
(931) 676-3450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
1254
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095243
PK
—
05
—
3452202
—
TN
Enumeration date
12/08/2006
Last updated
02/10/2022
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