Organization
COOKEVILLE PHARMACY LLC
Active
Organization
COOKEVILLE PHARMACY LLC
Active
Other names
Andy's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DAVIS HIRT (OWNER)
(931) 372-2700
Entity
Organization
Contact information
Practice address
305 W SPRING ST, COOKEVILLE, TN 38501-3125
(931) 372-2700
(931) 372-2701
Mailing address
4505 HARDING PIKE APT 123, NASHVILLE, TN 37205-2174
(931) 372-2700
(931) 372-2701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4863
TN
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154610038M
—
TN
01
—
2129702
PK
—
Enumeration date
03/31/2011
Last updated
12/01/2021
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