Organization
COMMUNITY QUICK CARE
Active
Parent organization
COMMUNITY QUICK CARE OF LAVERGNE
Other names
Community Quick Care of Lebanon
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY QUICK CARE OF LAVERGNE
Authorized official
MR. JERRY ELEDGE RPH (CEO)
(615) 943-5072
Entity
Organization
Contact information
Practice address
1670 W MAIN ST STE 140, LEBANON, TN 37087-1345
(615) 453-9492
(615) 453-9498
Mailing address
1670 W MAIN ST STE 140, LEBANON, TN 37087-1345
(615) 453-9492
(615) 453-9498
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
APN0000016043
TN
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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