Organization
VARSITY DRUGS & COMPOUNDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JOE WHALEY PHARM.D. (OWNER/PHARMACIST IN CHARGE)
(615) 848-8364
Entity
Organization
Contact information
Practice address
601 VICKERS PL, COOKEVILLE, TN 38501-3948
(931) 526-8778
(931) 526-8777
Mailing address
601 VICKERS PL, COOKEVILLE, TN 38501-3948
(931) 526-8778
(931) 526-8777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5064
TN
3336C0004X
Compounding Pharmacy
5064
TN
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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