Organization
REEVES DRUG STORE, INC.
Active
Other names
REEVES DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DARDEN F HERITAGE RPH (OWNER AND PRESIDENT)
(256) 534-1118
Entity
Organization
Contact information
Practice address
125 N 1ST ST, PULASKI, TN 38478-3214
(931) 363-2561
(931) 424-3284
Mailing address
PO BOX 346, PULASKI, TN 38478-0346
(931) 363-2561
(931) 363-3284
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000001079
TN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095989
PK
—
05
—
Q035645
—
TN
Enumeration date
01/19/2006
Last updated
10/30/2023
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