Organization
MLM DRUG LLC
Active
Other names
Baileyton Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BRANDON ALLEN (PHARMACIST)
(423) 528-4258
Entity
Organization
Contact information
Practice address
515 VAN HILL RD, GREENEVILLE, TN 37745-7609
(423) 528-4258
(423) 528-4273
Mailing address
515 VAN HILL RD, GREENEVILLE, TN 37745
(423) 528-4258
(423) 528-4273
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6283
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177261
PK
—
05
—
Q035252
—
TN
Enumeration date
10/28/2016
Last updated
10/07/2022
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