Organization
ROARK'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY ROARK DPH (PHARMACIST)
(423) 569-9000
Entity
Organization
Contact information
Practice address
19118 ALBERTA ST, ONEIDA, TN 37841-6003
(423) 569-9000
(423) 569-2402
Mailing address
19118 ALBERTA ST, ONEIDA, TN 37841-6003
(423) 569-9000
(423) 569-2402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1948
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4424165
NABP NUMBER
—
Enumeration date
11/17/2006
Last updated
08/22/2020
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