Organization
MEDSOURCE
Active
Other names
Medsource Scripts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LYNN EMPEY PHARMD (OWNER AND CMO)
(931) 896-2126
Entity
Organization
Contact information
Practice address
1849 MADISON ST, SUITE D, CLARKSVILLE, TN 37043
(931) 896-2126
(931) 896-2127
Mailing address
1849 MADISON ST, SUITE D, CLARKSVILLE, TN 37043
(931) 896-2126
(931) 896-2127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
04/30/2024
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