Organization
FAMILY DRUG CENTER INC
Active
Other names
FAMILY DRUG CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST CREEKMORE (PRES)
(423) 784-8880
Entity
Organization
Contact information
Practice address
248 S MAIN ST, JELLICO, TN 37762-2017
(423) 784-8880
(423) 784-5982
Mailing address
248 S MAIN ST, JELLICO, TN 37762-2017
(423) 784-8880
(423) 784-5982
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000735
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095596
PK
—
05
—
3521467
—
TN
05
—
54620273
—
KY
05
—
90262726
—
KY
Enumeration date
12/04/2006
Last updated
12/06/2013
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