Organization
BISE, PLLC
Active
Other names
Surgoinsville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BRYAN (OWNER)
(423) 345-0333
Entity
Organization
Contact information
Practice address
114 BELLAMY AVE, SURGOINSVILLE, TN 37873-2700
(423) 345-0333
(423) 345-0336
Mailing address
PO BOX 105, SURGOINSVILLE, TN 37873-0105
(423) 345-0333
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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