Organization
PHARMACISTS HOME MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL THOMAS ARMES JR. (PRESIDENT)
(931) 836-6387
Entity
Organization
Contact information
Practice address
461 N SPRING ST, SPARTA, TN 38583-1328
(931) 836-6387
(931) 836-1052
Mailing address
461 N SPRING ST, SPARTA, TN 38583-1328
(931) 836-6387
(931) 836-1052
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
332BX2000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452524
—
TN
01
—
3125115
BLUE CROSS BLUE SHEILD
TN
Enumeration date
07/04/2006
Last updated
04/07/2011
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