Organization
DOCTORS HOSPITAL PHARMACY INC
Active
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
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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