Organization
DEBERRY DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RICKMAN (BOOK KEEPER/CPHT)
(731) 645-6100
Entity
Organization
Contact information
Practice address
834 MULBERRY AVE, SELMER, TN 38375
(731) 645-6100
(731) 645-4333
Mailing address
834 MULBERRY AVE, SELMER, TN 38375-2334
(731) 645-6100
(731) 645-4333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2087
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134117146
NPI
TN
01
—
4425357
NABP
TN
05
—
9449564
—
TN
Enumeration date
10/12/2005
Last updated
09/25/2024
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