Organization
T & W INCORPORATED
Active
Organization
T & W INCORPORATED
Active
Other names
TIPTONVILLE HEALTH MART DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JC WILLIAMS RPH (OWNER)
(731) 253-7411
Entity
Organization
Contact information
Practice address
139 CHURCH ST, TIPTONVILLE, TN 38079-1374
(731) 253-7411
(731) 253-7304
Mailing address
139 CHURCH ST, TIPTONVILLE, TN 38079-1374
(731) 253-7411
(731) 253-7304
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454251
—
TN
01
—
2089602
PK
—
Enumeration date
07/30/2006
Last updated
06/11/2013
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