Organization
TRI-MED PHARMACY SERVICES, LLC #3
Active
Parent organization
TRI-MED PHARMACY SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-MED PHARMACY SERVICES, LLC
Authorized official
MIKE BIRDWELL PHARMD., RPH. (DIRECTOR OF PHARMACY)
(423) 664-1217
Entity
Organization
Contact information
Practice address
2195 VARNELL RD SW, CLEVELAND, TN 37311-7347
(423) 664-1217
Mailing address
2195 VARNELL RD SW, CLEVELAND, TN 37311-7347
(423) 664-1217
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4465
BOARD OF PHARMACY
TN
Enumeration date
01/23/2008
Last updated
01/23/2008
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