Organization
CEDAR RECOVERY OF MIDDLE TENNESSEE, LLC
Active
Other names
CedarRx-Nashville
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN TRIVETTE (CHIEF STRATEGY OFFICER)
(423) 914-1518
Entity
Organization
Contact information
Practice address
2525 PERIMETER PLACE DR STE 105, NASHVILLE, TN 37214-3674
(615) 257-6844
(615) 549-7044
Mailing address
5000 CROSSINGS CIR STE 103, MOUNT JULIET, TN 37122-8591
(615) 257-6844
(615) 549-7044
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q090493
—
TN
Enumeration date
06/14/2024
Last updated
08/09/2024
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