Organization
MAC'S PHARMACY AT BROWN'S CREEK, LLC
Active
Other names
City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILHOLT PHARM D (PRESIDENT)
(865) 806-6453
Entity
Organization
Contact information
Practice address
1612 E. LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37804
(865) 982-7162
(865) 977-4263
Mailing address
1612 E. LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37804
(865) 982-7162
(865) 977-4263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000000664
TN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452244
—
TN
01
—
2088358
PK
—
05
—
9440097
—
TN
Enumeration date
09/20/2006
Last updated
01/27/2026
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