Organization
RIVER CITY PHARMACY INC
Active
Other names
River City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GOSS RPH (OWNER/PIC/AO)
(423) 503-1243
Entity
Organization
Contact information
Practice address
5564 LITTLE DEBBIE PKWY, SUITE 102, OOLTEWAH, TN 37363-4356
(423) 521-7279
(423) 498-2480
Mailing address
5564 LITTLE DEBBIE PKWY, SUITE 102, OOLTEWAH, TN 37363-4356
(423) 521-7279
(423) 498-2480
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6057
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171095
PK
—
05
—
Q035490
—
TN
Enumeration date
08/27/2017
Last updated
07/19/2018
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