Organization
COMMUNITY PHARMACY CARE, INC.
Active
Other names
Dickson Apothecary East
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA SHEPARD D.PH. (PHARMACIST)
(931) 670-6035
Entity
Organization
Contact information
Practice address
7723 CLEARVIEW CHURCH LN, LYLES, TN 37098-1609
(931) 670-6035
Mailing address
7723 CLEARVIEW CHURCH LN, LYLES, TN 37098-1609
(931) 670-6035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1530
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452818
—
TN
01
—
4425939
NABP
TN
Enumeration date
08/21/2005
Last updated
08/12/2009
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