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Organization

MEDROCK TN LLC

Active
Other names
MedRock TN Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
AHMED ASHRAF AHMED R.PH., MBA (PHARMACIST IN CHARGE)
(423) 933-1610
Entity
Organization

Contact information

Practice address
6116 SHALLOWFORD RD STE 105, CHATTANOOGA, TN 37421-7203
(423) 933-1610
(423) 933-1618
Mailing address
6116 SHALLOWFORD RD STE 105, CHATTANOOGA, TN 37421-7203
(423) 933-1610
(423) 933-1618

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Enumeration date
01/13/2022
Last updated
12/06/2022
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