Organization
WESLEY T COWAN
Active
Other names
SANITARY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY COWAN DPH (PIC AND OWNER)
(865) 674-2526
Entity
Organization
Contact information
Practice address
1627 MAIN ST, WHITE PINE, TN 37890-3302
(865) 674-2526
(865) 674-6739
Mailing address
PO BOX 510, WHITE PINE, TN 37890-0510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000001200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4411790
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/09/2007
Last updated
03/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us