Organization
UTFULLCIRCLE, LLC.
Active
Other names
MedPlus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK WALKER (OWNER)
(931) 267-4295
Entity
Organization
Contact information
Practice address
635 S JEFFERSON AVE, COOKEVILLE, TN 38501-4011
(931) 651-2772
Mailing address
635 S JEFFERSON AVE, COOKEVILLE, TN 38501-4011
(931) 651-2772
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7133
PHARMACY LICENSE NUMBER
TN
Enumeration date
12/09/2021
Last updated
12/09/2021
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