Organization
BOLIVAR GENERAL HOSPITAL PHARMACY
Active
Other names
Bolivar General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE YOUNG CRAFT PHARM.D. (PHARMACY DIRECTOR)
(731) 659-0251
Entity
Organization
Contact information
Practice address
650 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-3100
(731) 659-0289
Mailing address
650 NUCKOLLS RD, PO BOX 509, BOLIVAR, TN 38008-1532
(731) 658-3100
(731) 659-0289
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
1402
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402
STATE PHARMACY LICENSE
TN
Enumeration date
02/14/2007
Last updated
08/22/2020
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