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Organization

JEFFCO DRUGCENTER IN DANDRIDGE, INC.

Active
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Organization

JEFFCO DRUGCENTER IN DANDRIDGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLIE SOUTHERLAND PHARM.D. (PIC)
(865) 397-2868
Entity
Organization

Contact information

Practice address
127 W. MEETING ST, DANDRIDGE, TN 37725
(865) 397-2868
(865) 397-5100
Mailing address
PO BOX 1191, DANDRIDGE, TN 37725-1191
(865) 397-2868
(865) 397-5100

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
8733
TN
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/12/2006
Last updated
11/07/2023
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