Organization
GH PHARMACY, LLC
Active
Other names
Mike's Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN R. HENRIKSON (PRESIDENT/OWNER)
(423) 273-0563
Entity
Organization
Contact information
Practice address
3606 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3603
(423) 587-4107
(423) 587-4091
Mailing address
3606 W ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-3603
(423) 587-4107
(423) 587-4091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000002184
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452396
—
TN
01
—
2090970
PK
—
Enumeration date
02/21/2007
Last updated
04/25/2019
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