Organization
CITY DRUG STORE INC
Active
Other names
CITY DRUG XPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MORRIS PHARMD (PIC)
(731) 989-7884
Entity
Organization
Contact information
Practice address
226 NORTH AVE, HENDERSON, TN 38340-1816
(731) 989-7884
(731) 989-2111
Mailing address
PO BOX 224, HENDERSON, TN 38340-0224
(731) 989-2166
(731) 989-9685
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1341
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454894
—
TN
01
—
2094496
PK
—
Enumeration date
10/12/2006
Last updated
02/20/2017
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