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Organization

DOCTORS HOSPITAL PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY BRIMER PHRMD (PRESIDENT)
(423) 586-6612
Entity
Organization

Contact information

Practice address
420 W MORRIS BLVD STE 160B, MORRISTOWN, TN 37813-2262
(423) 586-6612
(423) 586-1431
Mailing address
420 W MORRIS BLVD STE 160B, MORRISTOWN, TN 37813-2262

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336I0012X
Institutional Pharmacy
1241
TN
3336I0012X
Institutional Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0126540003
PALMETTO GBA
TN
05
1452927
TN
05
3519293
TN
01
4409644
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
11/13/2006
Last updated
06/18/2013
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